Healthcare Provider Details

I. General information

NPI: 1518384833
Provider Name (Legal Business Name): CONTINUECARE HOSPITAL AT BAPTIST HEALTH MADISONVILLE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2014
Last Update Date: 01/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 HOSPITAL DR
MADISONVILLE KY
42431-1644
US

IV. Provider business mailing address

7800 DALLAS PKWY SUITE 200
PLANO TX
75024-4076
US

V. Phone/Fax

Practice location:
  • Phone: 972-943-6435
  • Fax:
Mailing address:
  • Phone: 972-943-6400
  • Fax: 972-943-6401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number100184
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number100184
License Number StateKY

VIII. Authorized Official

Name: LISA YOUNG
Title or Position: CFO
Credential:
Phone: 972-943-1225