COMMONWEALTH OF KENTUCKY NPI 1790816395

NPI Information

  • NPI: 1790816395
  • Provider Name: COMMONWEALTH OF KENTUCKY
  • Classification: Psychiatric Hospital - 283Q00000X
  • Entity Type: Organization
  • Doing Business As: EASTERN STATE HOSPITAL
  • Address: 1350 BULL LEA RD
    LEXINGTON, KY
    ZIP 40511
  • Phone: (859) 246-8000

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NPI Details

COMMONWEALTH OF KENTUCKY is a psychiatric hospital in Lexington, KY. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. COMMONWEALTH OF KENTUCKY NPI is 1790816395. The provider is registered as an organization entity type.
The provider Is Doing Business As Eastern State Hospital.

The provider's business location address is:

1350 BULL LEA RD
LEXINGTON, KY
ZIP 40511-247
Phone: (859) 246-8000
Fax: (859) 246-8043

The provider's authorized official is Jennifer Moore .
The authorized official title is Assistant Director and has the following contact phone number (502) 782-6117.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 8/7/2024.

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
1283Q00000XPsychiatric HospitalNo
2283Q00000XPsychiatric HospitalKENTUCKYYes
33336I0012XPharmacyInstitutional PharmacyP06579KENTUCKYNo

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
102020030MEDICAIDKENTUCKY

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: 3/30/2025

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