Provider Type Icon

1300 CAMPBELL LANE OPERATING COMPANY LLC NPI 1295789295


NPI Information

NPI: 1295789295
Provider Name: 1300 CAMPBELL LANE OPERATING COMPANY LLC

Doing Business As: SOUTHERN KENTUCKY REHABILITATION HOSPITAL

Classification: Rehabilitation Hospital - 283X00000X
Entity Type: Organization

CLIA Number: 18D0691571

Address:
1300 CAMPBELL LN
BOWLING GREEN, KY
ZIP 42104
Phone: (270) 782-6900
Get Directions

1300 CAMPBELL LANE OPERATING COMPANY LLC is a rehabilitation hospital in Bowling Green, KY. The provider is a hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. 1300 CAMPBELL LANE OPERATING COMPANY LLC NPI is 1295789295. The provider is registered as an organization entity type.
The provider Is Doing Business As Southern Kentucky Rehabilitation Hospital.

The provider's business location address is:

1300 CAMPBELL LN
BOWLING GREEN, KY
ZIP 42104-162
Phone: (270) 782-6900
Fax: (270) 782-7228

The provider's authorized official is Brad Eugene Hollinger .
The authorized official title is President and has the following contact phone number (717) 591-5700.

The CLIA number assigned to this NPI record is 18D0691571 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 9/6/2023.


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
1283X00000XRehabilitation Hospital100655KENTUCKYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000273851OTHERKENTUCKYBLUE CROSS BLUE SHIELD
201000272MEDICAIDKENTUCKY

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.