HOSPICE OF SOUTHERN KENTUCKY NPI 1790784312

NPI Information

NPI: 1790784312
Provider Name: HOSPICE OF SOUTHERN KENTUCKY
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 18D1089165

Address:
5872 SCOTTSVILLE RD
BOWLING GREEN, KY
ZIP 42104
Phone: (270) 782-3402
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HOSPICE OF SOUTHERN KENTUCKY is a hospice care community based in Bowling Green, KY. HOSPICE OF SOUTHERN KENTUCKY NPI is 1790784312. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5872 SCOTTSVILLE RD
BOWLING GREEN, KY
ZIP 42104-853
Phone: (270) 782-3402
Fax: (270) 782-0588

The provider's authorized official is Ellen K. Sledge .
The authorized official title is Executive Director and has the following contact phone number (270) 782-3402.

The CLIA number assigned to this NPI record is 18D1089165 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2005 and was last updated on 8/29/2018.

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
1	207QH0002X	Family Medicine	Hospice and Palliative Medicine			No
2	251G00000X	Hospice Care, Community Based		400006	KENTUCKY	No
3	251G00000X	Hospice Care, Community Based			KENTUCKY	Yes

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
1	44114015	MEDICAID	KENTUCKY

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

NPI Synchronization or Removal

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