Healthcare Provider Details

I. General information

NPI: 1851500466
Provider Name (Legal Business Name): UNITED HEALTHCARE OF HARDIN, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 04/02/2020
Certification Date: 04/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7260 N DIXIE BLVD
RADCLIFF KY
40160-8599
US

IV. Provider business mailing address

3909 S. WILSON RD.
RADCLIFF KY
40160-8599
US

V. Phone/Fax

Practice location:
  • Phone: 270-351-9444
  • Fax: 270-351-8980
Mailing address:
  • Phone: 270-351-9444
  • Fax: 270-351-0400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: SR VP CFO
Credential:
Phone: 610-768-3300