Clark Immediate Care Center Rehabilitation
LBN: Clark Regional Medical Center, Inc
Clark Immediate Care Center Rehabilitation is an health care organization with primary practice located at 1934 Bypass Rd , Winchester KY 40391-2389. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty.
Clark Regional Medical Center, Inc can be contacted via phone (859) 745-0191, or through Fraraccio, Robert D via phone (859) 745-3500.
Contact Information
Primary practice address
1934 Bypass Rd
Winchester KY 40391-2389
Phone: (859) 745-0191
Fax: (859) 745-7789
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | 100902 | Kentucky |
Profile Details
| NPI number | 1366460818 |
|---|---|
| LBN Legal business name | Clark Regional Medical Center, Inc |
| DBA Doing business as | Clark Immediate Care Center Rehabilitation |
| Authorized official | Fraraccio, Robert D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | May 20th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366460818 | NPPES |
| Kentucky | Other | 032043100 | BLACK LUNG |
| Kentucky | Other | 000000054543 | BLACK LUNG |
| Kentucky | MEDICAID | 01007335 | BLACK LUNG |
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