Healthcare Provider Details

I. General information

NPI: 1952444762
Provider Name (Legal Business Name): ROCKCASTLE REGIONAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 12/12/2019
Certification Date: 12/12/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 NEWCOMB AVE
MT VERNON KY
40456
US

IV. Provider business mailing address

145 NEWCOMB AVE
MT VERNON KY
40456
US

V. Phone/Fax

Practice location:
  • Phone: 606-256-2195
  • Fax: 606-256-7742
Mailing address:
  • Phone: 606-256-2195
  • Fax: 606-256-7742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberPO5191
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number8703
License Number StateKY

VIII. Authorized Official

Name: CATINA C HASTY
Title or Position: DIRECTOR OF PHARMACY
Credential: PHARMD
Phone: 606-256-7738