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General NPI Number Information
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NPI Number | 1588637425
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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 | 03/29/2010
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Provider Practice Location Address
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Address Line | 145 LEWIS ST
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City | MOUNT VERNON
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State | KY
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Zip | 40456-2761
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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 LEWIS ST P O BOX 1186
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City | MOUNT VERNON
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State | KY
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Zip | 40456-2761
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Country | US
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Telephone | 606-256-2195
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. CHARLES BLACK
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 150179
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License Number State | KY
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