Healthcare Provider Details

I. General information

NPI: 1518964345
Provider Name (Legal Business Name): UNITED HEALTHCARE OF HARDIN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 09/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3909 S WILSON RD
RADCLIFF KY
40160-8944
US

IV. Provider business mailing address

3909 S WILSON RD
RADCLIFF KY
40160-8944
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number100574
License Number StateKY

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: VICE PRESIDENT
Credential:
Phone: 610-768-3300