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NPI Code Detail

MEDICARE: TRI-COUNTY HEALTH CARE, INC.

MEDICARE: TRI-COUNTY HEALTH CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility100680KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10945080001OTHERKYPART B SUPPLIER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588662969
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRI-COUNTY HEALTH CARE, INC.
Provider Business Mailing Address
First Line : 725 HARVARD DR
Second Line :
City : OWENSBORO
State : KY
Zip : 42301-6185
Country : US
Telephone Number : 270-926-9355
Fax Number : 270-684-6283
Provider Business Practice Location Address
First Line : 813 S MAIN ST
Second Line :
City : BROWNSVILLE
State : KY
Zip : 42210-9009
Country : US
Telephone Number : 270-597-2335
Fax Number : 270-597-2959
Authorized Official
Title or Position : CFO
Name : MR. TERRY LYNN SKAGGS
Credential :
Telephone Number : 270-926-9355
Provider Enumeration Date : 07/11/2005
Last Update Date : 08/22/2020

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