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NPI Code Detail

MEDICARE: CENTURION INC

MEDICARE: CENTURION INC
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
1314000000XSkilled Nursing Facility100106KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578553020
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTURION INC
Provider Business Mailing Address
First Line : 1537 N LIMESTONE
Second Line :
City : LEXINGTON
State : KY
Zip : 40505-3246
Country : US
Telephone Number : 859-252-6673
Fax Number : 859-253-1184
Provider Business Practice Location Address
First Line : 1537 N LIMESTONE
Second Line :
City : LEXINGTON
State : KY
Zip : 40505-3246
Country : US
Telephone Number : 859-252-6673
Fax Number : 859-253-1184
Authorized Official
Title or Position : BUSINESS OFFICE MANAGER
Name : MRS. CASTELLA A PHILLIPS
Credential :
Telephone Number : 859-252-6673
Provider Enumeration Date : 10/26/2005
Last Update Date : 08/22/2020

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Directions to “CENTURION INC ” Practice Location

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