HEART CLINIC OF LOUISVILLE PSC NPI 1063687176

NPI Information

NPI: 1063687176
Provider Name: HEART CLINIC OF LOUISVILLE, PSC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
601 N SHORE DR
SUITE 102
JEFFERSONVILLE, IN
ZIP 47130
Phone: (812) 218-9845
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HEART CLINIC OF LOUISVILLE, PSC is a cardiovascular disease internal medicine in Jeffersonville, IN. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. HEART CLINIC OF LOUISVILLE, PSC NPI is 1063687176. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

601 N SHORE DR
SUITE 102
JEFFERSONVILLE, IN
ZIP 47130-142
Phone: (812) 218-9845
Fax: (812) 218-9850

The provider's authorized official is Wayne Gibson .
The authorized official title is Owner and has the following contact phone number (812) 218-9845.

The enumeration date for this NPI number is 4/29/2008 and was last updated on 5/6/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	01040911A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	731270	MEDICARE PIN	INDIANA
2	1634401	MEDICARE PIN	KENTUCKY
3	F29707	MEDICARE UPIN	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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