Healthcare Provider Details

I. General information

NPI: 1588637425
Provider Name (Legal Business Name): ROCKCASTLE COUNTY HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 03/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 LEWIS ST
MOUNT VERNON KY
40456-2761
US

IV. Provider business mailing address

145 LEWIS ST P O BOX 1186
MOUNT VERNON KY
40456-2761
US

V. Phone/Fax

Practice location:
  • Phone: 606-256-2195
  • Fax:
Mailing address:
  • Phone: 606-256-2195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number150179
License Number StateKY

VIII. Authorized Official

Name: MR. CHARLES BLACK
Title or Position: CFO
Credential:
Phone: 606-256-2195