1457324246 NPI number — ROCKCASTLE COUNTY HOSPITAL, INC.

Table of content: (NPI 1457324246)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457324246 NPI number — ROCKCASTLE COUNTY HOSPITAL, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROCKCASTLE COUNTY HOSPITAL, INC.
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:
ROCKCASTLE REGIONAL HOSPITAL AND RESPIRATORY CARE CENTER
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:
1457324246
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/12/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
145 NEWCOMB AVE
Provider Second Line Business Mailing Address:
PO BOX 1310
Provider Business Mailing Address City Name:
MOUNT VERNON
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40456-2733
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
606-256-2195
Provider Business Mailing Address Fax Number:
606-256-3947

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
145 NEWCOMB AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOUNT VERNON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40456-2733
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-256-2195
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BASTIN
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
NICHOLAS
Authorized Official Title or Position:
CONTROLLER
Authorized Official Telephone Number:
606-256-2195

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  100374 , 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: 4030140001 . This is a "DME" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 54027149 . This is a "SNF PHARMACY" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 12502217 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 90005547 . This is a "DME" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".




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