WESTERN KY REGIONAL MHMR BOARD INC NPI 1841216934

NPI Information

NPI: 1841216934
Provider Name: WESTERN KY REGIONAL MHMR BOARD INC

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

WESTERN KY REGIONAL MHMR BOARD INC is a mental health (including community mental health center) clinic center in Paducah, KY. WESTERN KY REGIONAL MHMR BOARD INC NPI is 1841216934. 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
SUITE 201
PADUCAH, KY
ZIP 42001
Phone: (270) 442-7121
Fax: (270) 443-9692

The provider's authorized official is Terry E. Hudspeth .
The authorized official title is President/ceo and has the following contact phone number (270) 442-1452.

The enumeration date for this NPI number is 7/14/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	800001	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	000000057108	OTHER	KENTUCKY	ANTHEM BCBS
2	27001015	MEDICAID	KENTUCKY
3	30601017	MEDICAID	KENTUCKY
4	29100946	MEDICAID	KENTUCKY
5	33900242	MEDICAID	KENTUCKY
6	28001014	MEDICAID	KENTUCKY
7	29100948	MEDICAID	KENTUCKY
8	000000057108	OTHER		ANTHEM BCBS

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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