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NPI Code Detail

MEDICARE: KINDRED HOSPITALS EAST, LLC

MEDICARE: KINDRED HOSPITALS EAST, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1273R00000XPsychiatric Hospital Unit
2282E00000XLong Term Care Hospital1458OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000362939OTHEROHBLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447320676
Entity Type Code : Organization
Provider Name (Legal Business Name) : KINDRED HOSPITALS EAST, LLC
Provider Business Mailing Address
First Line : 707 S. EDWIN C. MOSES BLVD
Second Line :
City : DAYTON
State : OH
Zip : 45417-3462
Country : US
Telephone Number : 937-331-9265
Fax Number : 937-331-9275
Provider Business Practice Location Address
First Line : 707 S. EDWIN C. MOSES BLVD
Second Line :
City : DAYTON
State : OH
Zip : 45417-3462
Country : US
Telephone Number : 937-331-9265
Fax Number : 937-331-9275
Authorized Official
Title or Position : ADMINISTRATOR
Name : JOHNETTA TRAYLOR
Credential :
Telephone Number : 502-596-6063
Provider Enumeration Date : 11/08/2006
Last Update Date : 06/11/2025

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Directions to “KINDRED HOSPITALS EAST, LLC ” Practice Location

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