Healthcare Provider Details

I. General information

NPI: 1093132300
Provider Name (Legal Business Name): CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2014
Last Update Date: 08/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 KENTUCKY AVE
PADUCAH KY
42003-3813
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: 855-633-2022
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 Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number100313
License Number StateKY

VIII. Authorized Official

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