Eastern State Hospital

LBN: Commonwealth Of Kentucky
Eastern State Hospital is an health care organization with primary practice located at 1350 Bull Lea Rd , Lexington KY 40511-1247. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty. Commonwealth Of Kentucky can be contacted via phone (859) 246-8000, or through Craycraft, Stephanie via phone (502) 782-6243.

Contact Information

Primary practice address
1350 Bull Lea Rd Lexington KY 40511-1247
Phone: (859) 246-8000
Fax: (859) 246-8043
Website:
Map and Directions
Authorized official contact:
Name: Craycraft, Stephanie
Phone: (502) 782-6243

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X Kentucky
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1750552857
LBN Legal business name Commonwealth Of Kentucky
DBA Doing business as Eastern State Hospital
Authorized official Craycraft, Stephanie
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 17th, 2008
Last updated Oct 30th, 2023 - about last year

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 1750552857 NPPES
Kentucky MEDICAID 7100105800

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