1952506008 NPI number — UNITED HEALTCARE OF HARDIN

Table of content: (NPI 1952506008)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952506008 NPI number — UNITED HEALTCARE OF HARDIN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNITED HEALTCARE OF HARDIN
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LINCOLN TRAIL BEHAVIORAL HEALTH SYSTEM
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952506008
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3909 S WILSON RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RADCLIFF
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40160-8944
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
270-351-9444
Provider Business Mailing Address Fax Number:
270-351-0400

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3909 S WILSON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RADCLIFF
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40160-8944
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-351-9444
Provider Business Practice Location Address Fax Number:
270-351-0400
Provider Enumeration Date:
06/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
WEBB
Authorized Official First Name:
CHUCK
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
270-351-9444

Provider Taxonomy Codes

  • Taxonomy code: 283Q00000X , with the licence number:  100574 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 45016151 . This is a "EPSDT NUMBER" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".




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