Healthcare Provider Details

I. General information

NPI: 1457324246
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: 09/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 NEWCOMB AVE
MOUNT VERNON KY
40456-2733
US

IV. Provider business mailing address

145 NEWCOMB AVE PO BOX 1310
MOUNT VERNON KY
40456-2733
US

V. Phone/Fax

Practice location:
  • Phone: 606-256-2195
  • Fax:
Mailing address:
  • Phone: 606-256-2195
  • Fax: 606-256-3947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number100374
License Number StateKY

VIII. Authorized Official

Name: MR. CHRISTOPHER NICHOLAS BASTIN
Title or Position: CONTROLLER
Credential:
Phone: 606-256-2195