Healthcare Provider Details

I. General information

NPI: 1306611702
Provider Name (Legal Business Name): HEPATITIS C TREATMENT CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2023
Last Update Date: 06/06/2024
Certification Date: 06/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 U S HIGHWAY 250
ADENA OH
43901-7925
US

IV. Provider business mailing address

1009A N DUPONT SQ
LOUISVILLE KY
40207-4612
US

V. Phone/Fax

Practice location:
  • Phone: 502-894-9950
  • Fax: 502-894-9991
Mailing address:
  • Phone: 502-894-9950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: LORI DIANE BOND
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 502-894-9950