Healthcare Provider Details

I. General information

NPI: 1073004511
Provider Name (Legal Business Name): INTERPRETING SERVICE OF THE COMMONWEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2018
Last Update Date: 05/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 DOGWOOD TRAIL
SOMERSET KY
42503-0180
US

IV. Provider business mailing address

PO BOX 3832
WEST SOMERSET KY
42564-3832
US

V. Phone/Fax

Practice location:
  • Phone: 606-401-2328
  • Fax: 855-621-0796
Mailing address:
  • Phone: 606-401-2328
  • Fax: 855-621-0796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number127830
License Number StateKY

VIII. Authorized Official

Name: MRS. REBECCA JANE BUSH
Title or Position: VICE-PRESIDENT/CFO
Credential: NIC
Phone: 606-401-2328