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WESTERN KENTUCKY REGIONAL MENTAL HEALTH MENTAL RETARDATION NPI 1699922708


NPI Information

NPI: 1699922708
Provider Name: WESTERN KENTUCKY REGIONAL MENTAL HEALTH MENTAL RETARDATION

Doing Business As: FOUR RIVERS BEHAVIORAL HEALTH

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
425 BROADWAY ST
SUITE 201
PADUCAH, KY
ZIP 42001
Phone: (270) 442-7121
Get Directions

WESTERN KENTUCKY REGIONAL MENTAL HEALTH MENTAL RETARDATION is a mental health (including community mental health center) clinic center in Paducah, KY. WESTERN KENTUCKY REGIONAL MENTAL HEALTH MENTAL RETARDATION NPI is 1699922708. The provider is registered as an organization entity type.
The provider Is Doing Business As Four Rivers Behavioral Health.

The provider's business location address is:

425 BROADWAY ST
SUITE 201
PADUCAH, KY
ZIP 42001-713
Phone: (270) 442-7121

The provider's authorized official is Allison Ogden .
The authorized official title is Ceo and has the following contact phone number (270) 442-7121.

The enumeration date for this NPI number is 8/20/2008 and was last updated on 4/6/2023.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)810061KENTUCKYYes

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
117020736MEDICAIDKENTUCKY

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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