Raven Rock Health &Wellness
LBN: Raven Rock Health &Wellness
Raven Rock Health &Wellness is an health care organization with primary practice located at 101 N Main St , Stanton KY 40380-2174. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Raven Rock Health &Wellness can be contacted via phone (859) 497-9508, or through Greene, Georgette Lee via phone (606) 775-0515.
Contact Information
Primary practice address
101 N Main St
Stanton KY 40380-2174
Phone: (859) 497-9508
Fax:
Website:
Authorized official contact:
Name: Greene, Georgette Lee Advanced Practice Registered Nurse (APRN)
Phone: (606) 775-0515
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1144978594 |
|---|---|
| LBN Legal business name | Raven Rock Health &Wellness |
| DBA Doing business as | |
| Authorized official | Greene, Georgette Lee Advanced Practice Registered Nurse (APRN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 15th, 2022 |
| Last updated | Jun 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144978594 | NPPES |
| Kentucky | MEDICAID | 7100897870 |
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