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COMMONWEALTH OF KENTUCKY NPI 1134124167


NPI Information

NPI: 1134124167
Provider Name: COMMONWEALTH OF KENTUCKY

Doing Business As: WESTERN STATE NURSING FACILITY

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 18D0326130

Address:
2400 RUSSELLVILLE RD
US 68 EAST
HOPKINSVILLE, KY
ZIP 42241
Phone: (502) 886-4431
Get Directions

COMMONWEALTH OF KENTUCKY is a psychiatry psychiatry neurology in Hopkinsville, KY. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. COMMONWEALTH OF KENTUCKY NPI is 1134124167. The provider is registered as an organization entity type.
The provider Is Doing Business As Western State Nursing Facility.

The provider's business location address is:

2400 RUSSELLVILLE RD
US 68 EAST
HOPKINSVILLE, KY
ZIP 42241
Phone: (502) 886-4431
Fax: (270) 886-4487

The provider's authorized official is Stephanie Craycraft .
The authorized official title is Director and has the following contact phone number (502) 782-6243.

The CLIA number assigned to this NPI record is 18D0326130 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/16/2005 and was last updated on 7/7/2015.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1313M00000XNursing Facility/Intermediate Care Facility100490KENTUCKYNo
2313M00000XNursing Facility/Intermediate Care FacilityKENTUCKYNo
3315P00000XIntermediate Care Facility, Intellectual DisabilitiesKENTUCKYNo
42084P0800XPsychiatry & NeurologyPsychiatryKENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13993MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYMEDICARE PART B PROVIDER
2184002MEDICARE OSCAR/CERTIFICATIONKENTUCKY
3185228MEDICARE UPINKENTUCKY
412400024MEDICAIDKENTUCKY

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: 5/5/2024

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