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KENTUCKY CORRECTIONAL PSYCHIATRIC CENTER NPI 1518962356


NPI Information

NPI: 1518962356
Provider Name: KENTUCKY CORRECTIONAL PSYCHIATRIC CENTER
Classification: Rehabilitation Hospital - 283X00000X
Entity Type: Organization

CLIA Number: 18D1019772

Address:
1612 DAWKINS RD
LA GRANGE, KY
ZIP 40031
Phone: (502) 222-7161
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KENTUCKY CORRECTIONAL PSYCHIATRIC CENTER is a rehabilitation hospital in La Grange, 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. KENTUCKY CORRECTIONAL PSYCHIATRIC CENTER NPI is 1518962356. The provider is registered as an organization entity type.

The provider's business location address is:

1612 DAWKINS RD
LA GRANGE, KY
ZIP 40031-729
Phone: (502) 222-7161
Fax: (502) 222-7798

The provider's authorized official is Sharon W. Proctor .
The authorized official title is Associate Superintendent and has the following contact phone number (502) 222-7163.

The CLIA number assigned to this NPI record is 18D1019772 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2005 and was last updated on 8/22/2020.


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
1283X00000XRehabilitation Hospital100528KENTUCKYYes

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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