Clark Regional Medical Center

LBN: Clark Regional Medical Center
Clark Regional Medical Center is an health care organization with primary practice located at 1107 W Lexington Ave , Winchester KY 40391-1169. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as the primary health care specialty. Clark Regional Medical Center can be contacted via phone (859) 745-3500, or through Fraraccio, Robert Donald via phone (859) 745-3500.

Contact Information

Primary practice address
1107 W Lexington Ave Winchester KY 40391-1169
Phone: (859) 745-3500
Fax: (859) 745-3450
Website:
Map and Directions
Authorized official contact:
Name: Fraraccio, Robert Donald
Phone: (859) 745-3500

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 100073 Kentucky

Profile Details

NPI number 1619156403
LBN Legal business name Clark Regional Medical Center
DBA Doing business as
Authorized official Fraraccio, Robert Donald
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2007
Last updated Oct 29th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619156403 NPPES
Kentucky MEDICAID 45004199

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