KENTUCKY HOSPITAL, LLC (NPI# 1275790230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275790230 |
| Entity Type | Organization |
| Organization Name | KENTUCKY HOSPITAL, LLC |
| Other Organization Name | CLARK REGIONAL MEDICAL CENTER |
| Practice Address |
1107 W Lexington Ave Winchester KY 40391-1169 |
| Practice Telephone | 8597453500 |
| Practice Fax Number | 8597453450 |
| Mailing Telephone | 8597453500 |
| Mailing Fax Number | 8597453450 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2010-05-26 |
| Authorized Official Name | MR. ROBERT DONALD FRARACCIO (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8597453500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | KY | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM BLUE CROSS BLUE SHEILD REFERENCE LAB | 000000657636 | 01 |
| KY | ANTHEM BLUE CROSS BLUE SHIELD | 000000061940 | 01 |
| Other Name | Type Code |
|---|---|
| Clark Regional Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245550813 | Kentucky Hospital, LLC | Occupational Therapist | 175 Hospital Dr, Winchester, KY 40391-9591 | 2010-06-07 |
| 1831416205 | Kentucky Hospital, LLC | Medicare Defined Swing Bed Unit | 175 Hospital Dr, Winchester, KY 40391-9591 | 2010-04-26 |
| 1386961753 | Kentucky Hospital, LLC | Radiology | 175 Hospital Dr, Winchester, KY 40391-9591 | 2010-04-26 |
| 1023335718 | Kentucky Hospital, LLC | Clinic/Center | 68 E Elkins St, Stanton, KY 40380-2311 | 2010-04-21 |
| 1528385226 | Kentucky Hospital, LLC | Nurse Practitioner | 1934 Bypass Rd, Winchester, KY 40391-2389 | 2010-04-21 |
| 1356668057 | Kentucky Hospital, LLC | Hospitalist | 175 Hospital Dr, Winchester, KY 40391-9591 | 2010-04-21 |
| 1457678153 | Kentucky Hospital, LLC | Clinic/Center | 225 Hospital Drive, Winchester, KY 40391-9591 | 2010-04-21 |
| 1811213994 | Kentucky Hospital, LLC | General Acute Care Hospital | 175 Hospital Dr, Winchester, KY 40391-9591 | 2010-04-14 |
| 1770809808 | Kentucky Hospital, LLC | Nurse Practitioner | 68 E Elkins St, Stanton, KY 40380-2311 | 2010-04-14 |
| 1710203849 | Kentucky Hospital, LLC | Skilled Nursing Facility | 175 Hospital Dr, Winchester, KY 40391-9591 | 2010-04-14 |
| Street Address |
1107 W LEXINGTON AVE |
| City | WINCHESTER |
| State | KY |
| Zip Code | 40391-1169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255333928 | Christopher Scheib | Anesthesiology | 1107 W Lexington Ave, Winchester, KY 40391-1169 | 2005-08-12 |
| 1952625824 | Central Kentucky Cardiology Pllc | Internal Medicine | 1107 W Lexington Ave, Specialty Clinic, Winchester, KY 40391-1169 | 2010-03-22 |
| 1346477791 | Regional Physicians Corporation II | Radiology | 1107 W Lexington Ave, Winchester, KY 40391-1169 | 2009-06-12 |
| 1669613873 | Clark Regional Medical Center, Inc. | Radiology | 1107 W Lexington Ave, Winchester, KY 40391-1169 | 2009-03-18 |
| 1356591523 | Clark Radiology, Pllc | Radiology | 1107 W Lexington Ave, Winchester, KY 40391-1169 | 2008-09-24 |
| 1619156403 | Clark Regional Medical Center | Occupational Therapist | 1107 W Lexington Ave, Winchester, KY 40391-1169 | 2007-10-29 |
| 1447459813 | William L. Cooper, M.d., Pllc | Radiology | 1107 W Lexington Ave, Winchester, KY 40391-1169 | 2007-07-16 |
| 1508079195 | William S. Witt | Radiology | 1107 W Lexington Ave, Winchester, KY 40391-1169 | 2007-05-08 |
| 1376607358 | Jarrett Ivy | Emergency Medicine | 1107 W Lexington Ave, Winchester, KY 40391-1169 | 2006-12-21 |
| 1518051762 | Clark Regional Medical Center, Inc | Medicare Defined Swing Bed Unit | 1107 W Lexington Ave, Winchester, KY 40391-1169 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255838710 | Sharrock Strength and Rehab LLC | Clinic/Center | 1932 Bypass Road, Winchester, KY 40391 | 2018-04-11 |
| 1316264385 | Yvonne Marie Pendleton | Massage Therapist | 126 Professional Ave., Winchester, KY 40391 | 2010-04-29 |
| 1346478310 | Mack Anderson Kidd IIi | Registered Nurse | 105 Lindberg Rd., Winchester, KY 40391 | 2009-06-29 |
| 1043487572 | Rankin Douglas Skinner | Dentist | 726 Boonesboro Plaza, Winchester, KY 40391 | 2008-05-14 |
| 1427233592 | Clark County Health Department | Public Health or Welfare | 244 E. Broadway, Shearer Elementary School, Winchester, KY 40391 | 2008-01-08 |
| 1437334505 | Clark County Health Department | Public Health or Welfare | 250 N. Main St., Fannie Bush Elementary, Winchester, KY 40391 | 2008-01-08 |
| 1598886251 | Winchester Open Mri | Radiology | 475 Shoppers Village Drive, Winchester, KY 40391 | 2007-04-02 |
| 1265509285 | James Warren Rice | Orthopaedic Surgery | 400 Shoppers Dr, Winchester, KY 40391 | 2006-11-29 |
| 1932279262 | J Todd Scobee Dmd Psc | Clinic/Center | 1216 West Lexington Ave, Winchester, KY 40391 | 2006-11-08 |
| 1396823936 | Commonwealth Urology, Psc | Urology | 68 East Elkin Street, Stanton, KY 40391 | 2006-11-01 |
| Find all providers in zip 40391 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
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| 1346315710 | Mid-south Pain Management, PC | Clinical Medical Laboratory | 2020 Cowan Hwy Ste 2, Winchester, TN 37398-2446 | 2006-11-21 |
| 1720167679 | Laboratory Corporation of America | Clinical Medical Laboratory | 1724 Amherst St, Winchester, VA 22601-2807 | 2006-11-03 |
| 1275948374 | Your Lab Partners Inc. | Clinical Medical Laboratory | 19 Warren St, Winchester, MA 01890-2424 | 2014-06-26 |
| 1790024909 | Winchester Medical Center Inc. | Clinical Medical Laboratory | 1840 Amherst St, Winchester, VA 22601-2808 | 2013-02-07 |
| 1386780245 | Winchester Women's Specialists - Lab | Clinical Medical Laboratory | 1870 Amherst St, Suite 2e, Winchester, VA 22601-2873 | 2007-01-29 |
| 1154476042 | Winchester Pediatric Clinic PC | Clinical Medical Laboratory | 190 Campus Blvd, Suite 400, Winchester, VA 22601-2872 | 2007-01-24 |
| 1144319153 | Selma Medical Associates Inc | Clinical Medical Laboratory | 104 Selma Dr, Winchester, VA 22601-3834 | 2006-10-11 |
| 1730122573 | Piedmont Joint Venture Laboratory, Inc. | Clinical Medical Laboratory | 333 W Cork St, Suite 215, Winchester, VA 22601-3870 | 2006-06-13 |
| 1730130667 | Winchester Internal Medicine, Inc | Clinical Medical Laboratory | 190 Campus Blvd, Suite 200, Winchester, VA 22601-2872 | 2006-05-15 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 40391 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.