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KENTUCKY RIVER COMMUNITY CARE INC NPI 1306960653


NPI Information

NPI: 1306960653
Provider Name: KENTUCKY RIVER COMMUNITY CARE, INC

Other Name: EPSDT

Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

CLIA Number: 18D2126209

Address:
115 ROCKWOOD LN
HAZARD, KY
ZIP 41701
Phone: (606) 436-5761
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KENTUCKY RIVER COMMUNITY CARE, INC is a substance abuse treatment and children substance abuse rehabilitation facility in Hazard, KY. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. KENTUCKY RIVER COMMUNITY CARE, INC NPI is 1306960653. The provider is registered as an organization entity type.
The provider Other Name Is Epsdt.

The provider's business location address is:

115 ROCKWOOD LN
HAZARD, KY
ZIP 41701-415
Phone: (606) 436-5761
Fax: (606) 436-5797

The provider's authorized official is Marcia Adams .
The authorized official title is Cfo and has the following contact phone number (606) 666-4351.

The CLIA number assigned to this NPI record is 18D2126209 - other - mental health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 9/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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