MEDICARE: REGIS HEALTHCARE INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	3336C0002X	Clinic Pharmacy
3	363LF0000X	Family Nurse Practitioner
4	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1689261422
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGIS HEALTHCARE INC

Provider Business Mailing Address
First Line	:	2208 FORT CAMPBELL BLVD
Second Line	:
City	:	HOPKINSVILLE
State	:	KY
Zip	:	42240-4665
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2208 FORT CAMPBELL BLVD
Second Line	:
City	:	HOPKINSVILLE
State	:	KY
Zip	:	42240-4665
Country	:	US
Telephone Number	:	270-885-5796
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JACQUELYN JAYNE STRICKLAND
Credential	:
Telephone Number	:	270-885-5515

Provider Enumeration Date	:	12/28/2020
Last Update Date	:	08/19/2025

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Directions to “REGIS HEALTHCARE INC ” Practice Location

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