Western State Nursing Facility

LBN: Commonwealth Of Kentucky
Western State Nursing Facility is an health care organization with primary practice located at 2400 Russellville Rd Us 68 East, Hopkinsville KY 42241. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Commonwealth Of Kentucky can be contacted via phone (502) 886-4431, or through Craycraft, Stephanie via phone (502) 782-6243.

Contact Information

Primary practice address
2400 Russellville Rd Us 68 East Hopkinsville KY 42241
Phone: (502) 886-4431
Fax: (270) 886-4487
Website:
Map and Directions
Authorized official contact:
Name: Craycraft, Stephanie
Phone: (502) 782-6243

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X Kentucky
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 100490 Kentucky
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X Kentucky
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X Kentucky

Profile Details

NPI number 1134124167
LBN Legal business name Commonwealth Of Kentucky
DBA Doing business as Western State Nursing Facility
Authorized official Craycraft, Stephanie
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 16th, 2005
Last updated Jul 7th, 2015 - about 9 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 1134124167 NPPES
Kentucky MEDICAID 12400024

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