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HAZELWOOD SPECIALTY CLINIC
NPI 1114346467
Clinic/Center - Multi-Specialty in Louisville, KY

Active since April 15, 2014
1800 BLUEGRASS AVE, LOUISVILLE, KY 40215(502) 361-2301(502) 366-0367 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2024, Jun 28, 2024 (2 updates tracked since 2024).

About Hazelwood Specialty Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAZELWOOD SPECIALTY CLINIC (NPI 1114346467) is a healthcare organization registered as a multi-specialty in Louisville, Kentucky and active in the NPI registry since April 2014. The organization lists Jennifer Moore, Assistant Director, as its authorized official.

NPPES Registry Identity

NPI1114346467
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCOMMONWEALTH OF KENTUCKY
Location Address1800 BLUEGRASS AVELouisville, KY 40215-1130
Mailing Address1800 Bluegrass AveLouisville, KY 40215-1130 · (502) 361-2301 · Fax (502) 366-0367
Phone(502) 361-2301
Fax(502) 366-0367
Organization SubpartYes
Authorized OfficialJennifer MooreAssistant Director · (502) 782-6117
Enumeration DateApril 15, 2014
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1114346467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1800 BLUEGRASS AVE, Louisville, KY 40215
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Other Names 1

Other NameHazelwood Specialty Clinic

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WARREN EUGENE MILTEER SR. M.D.
Internal Medicine
1800 BLUEGRASS AVE
LOUISVILLE, KY 40215
Jefferson County (502) 361-2301
COMMONWEALTH OF KENTUCKY
Intermediate Care Facility, Intellectual Disabilities
1800 BLUEGRASS AVE
LOUISVILLE, KY 40215
Jefferson County (502) 361-2301
MS. ASHLEY NICOLE HILL M.S.,CCC/SLP
Speech-Language Pathologist
1800 BLUEGRASS AVE
LOUISVILLE, KY 40215
Jefferson County (502) 361-2301
BRITTANY ROBY PT, DPT
Physical Therapist
1800 BLUEGRASS AVE
LOUISVILLE, KY 40215
Jefferson County (502) 361-2301
VANESSA ROGERS BSDH
Dental Hygienist
1800 BLUEGRASS AVE
LOUISVILLE, KY 40215
Jefferson County (502) 361-2301
DR. ERIC SCOTT ROGERS PH.D.
Psychologist (Clinical)
1800 BLUEGRASS AVE
LOUISVILLE, KY 40215
Jefferson County (502) 361-2301
DR. ETHAN COLE ADAMS DPT, PT
Physical Therapist
1800 BLUEGRASS AVE
LOUISVILLE, KY 40215
Jefferson County (502) 361-2301
PAUL CLARK PT, DPT
Physical Therapist
1800 BLUEGRASS AVE
LOUISVILLE, KY 40215
Jefferson County (502) 361-2301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Commonwealth Of Kentucky's NPI number?

The NPI number for Commonwealth Of Kentucky is 1114346467. It was assigned to this organization in the NPPES registry on April 15, 2014. The provider is also known as Hazelwood Specialty Clinic.

Where is Commonwealth Of Kentucky located?

Commonwealth Of Kentucky is located at 1800 Bluegrass Ave, Louisville, KY 40215. The listed phone number is (502) 361-2301.

What is Commonwealth Of Kentucky's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Commonwealth Of Kentucky was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.