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General NPI Number Information
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NPI Number | 1457324246
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Entity Type | Organization
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Legal Business Name | ROCKCASTLE COUNTY HOSPITAL, INC.
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 09/12/2013
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Provider Practice Location Address
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Address Line | 145 NEWCOMB AVE
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City | MOUNT VERNON
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State | KY
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Zip | 40456-2733
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Country | US
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Telephone | 606-256-2195
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Fax |
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Provider Business Mailing Address
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Address Line | 145 NEWCOMB AVE PO BOX 1310
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City | MOUNT VERNON
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State | KY
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Zip | 40456-2733
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Country | US
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Telephone | 606-256-2195
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Fax | 606-256-3947
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Authorized Official
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Title or Position | CONTROLLER
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Name | MR. CHRISTOPHER NICHOLAS BASTIN
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Credential |
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Telephone | 606-256-2195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 100374
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License Number State | KY
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