Provider Demographics
NPI:1558564484
Name:THE CONTINENCE CENTER, LLC
Entity Type:Organization
Organization Name:THE CONTINENCE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:CASALE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-629-4224
Mailing Address - Street 1:234 E GRAY ST
Mailing Address - Street 2:STE. 662
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1900
Mailing Address - Country:US
Mailing Address - Phone:502-629-4224
Mailing Address - Fax:502-629-4223
Practice Address - Street 1:234 E GRAY ST
Practice Address - Street 2:STE 662
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1900
Practice Address - Country:US
Practice Address - Phone:502-629-4224
Practice Address - Fax:502-629-4223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY40773174400000X, 207VG0400X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Not Answered207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
Not Answered208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY=========OtherTAX ID