LAKE CUMBERLAND REGIONAL HOSPITAL LLC (NPI# 1437210069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437210069 |
| Entity Type | Organization |
| Organization Name | LAKE CUMBERLAND REGIONAL HOSPITAL LLC |
| Other Organization Name | LAKE CUMBERLAND REGIONAL HOSPITAL - PSYCHIATRIC UNIT |
| Practice Address |
305 Langdon St Somerset KY 42503-2750 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 6066797441 |
| Practice Fax Number | 6066789919 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-06-09 |
| Authorized Official Name | KATHY J. TEAGUE (ASSISTANT VICE PRESIDENT, SECRETARY) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | Y |
| Parent Organization Name | LAKE CUMBERLAND REGIONAL HOSPITAL LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Lake Cumberland Regional Hospital - psychiatric unit | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619038247 | Lake Cumberland Regional Hospital LLC | General Acute Care Hospital | 305 Langdon Street, Somerset, KY 42502 | 2006-12-13 |
| 1093092744 | Lake Cumberland Regional Hospital LLC | Nurse Practitioner | 353 Bogle St, Suite A, Somerset, KY 42503-2888 | 2011-11-09 |
| 1073704789 | Lake Cumberland Regional Hospital LLC | Internal Medicine | 350 Hospital Way, Suite 250, Somerset, KY 42503-2872 | 2007-08-07 |
| 1215070164 | Lake Cumberland Regional Hospital LLC | Family Medicine | 305 Langdon St, Somerset, KY 42503-2750 | 2007-02-14 |
| 1952449746 | Lake Cumberland Regional Hospital LLC | Anesthesiology | 305 Langdon St, Somerset, KY 42503-2750 | 2007-02-02 |
| 1023155462 | Lake Cumberland Regional Hospital LLC | Clinic/Center | 305 Langdon St, Somerset, KY 42503-2750 | 2007-02-01 |
| 1629130562 | Lake Cumberland Regional Hospital LLC | Skilled Nursing Facility | 305 Langdon St, Somerset, KY 42503-2750 | 2006-12-15 |
| 1346301975 | Lake Cumberland Regional Hospital LLC | Rehabilitation Unit | 305 Langdon St, Somerset, KY 42503-2750 | 2006-12-13 |
| 1407925258 | Lake Cumberland Regional Hospital LLC | Hospitalist | 305 Langdon St, Somerset, KY 42503-2750 | 2006-11-07 |
| Street Address |
305 LANGDON ST |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-2750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700889144 | David Wayne Flynn | Family Medicine | 305 Langdon St, Somerset, KY 42503-2750 | 2005-05-31 |
| 1225656424 | Katelyn Sandell | Physician Assistant | 305 Langdon St, Somerset, KY 42503-2750 | 2020-07-14 |
| 1508487091 | Xaverie Lene Benedict | Family Medicine | 305 Langdon St, Somerset, KY 42503-2750 | 2020-05-06 |
| 1467073445 | Rachel West | Pharmacist | 305 Langdon St, Somerset, KY 42503-2750 | 2020-05-01 |
| 1245859123 | Brandon Robert Thomas | Student in an Organized Health Care Education/Training Program | 305 Langdon St, Somerset, KY 42503-2750 | 2020-04-10 |
| 1891323275 | Chase Aaron, Scott Noel | Student in an Organized Health Care Education/Training Program | 305 Langdon St, Somerset, KY 42503-2750 | 2020-03-31 |
| 1609403930 | Gurpreet Kaur | Student in an Organized Health Care Education/Training Program | 305 Langdon St, Somerset, KY 42503-2750 | 2020-03-25 |
| 1851928667 | Alvina Yvette Evans | Nurse Anesthetist, Certified Registered | 305 Langdon St, Somerset, KY 42503-2750 | 2020-03-24 |
| 1972130540 | Kylie Shea Rice | Student in an Organized Health Care Education/Training Program | 305 Langdon St, Somerset, KY 42503-2750 | 2020-03-24 |
| 1124655626 | Mary M Nguy | Student in an Organized Health Care Education/Training Program | 305 Langdon St, Somerset, KY 42503-2750 | 2020-03-24 |
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|---|---|---|---|---|
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
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| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336786276 | Somerset Health Services, Inc. | Psychiatric Unit | 225 S Center Ave, Somerset, PA 15501-2033 | 2019-12-10 |
| 1558381988 | Upmc Somerset | Psychiatric Unit | 225 S Center Ave, Somerset, PA 15501-2033 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659810810 | Swis Purchase, LLC | Psychiatric Unit | 473 Old Symsonia Rd, Benton, KY 42025-5044 | 2017-02-20 |
| 1366629545 | Adair County Hospital District | Psychiatric Unit | 901 Westlake Drive, Columbia, KY 42728-1123 | 2008-01-30 |
| 1013525583 | Baptist Healthcare System Inc | Psychiatric Unit | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2020-07-21 |
| 1477189876 | Uofl Health-louisville Inc | Psychiatric Unit | 2020 Newburg Rd, Louisville, KY 40205-1803 | 2020-03-17 |
| 1063074581 | Arh Tug Valley Health Services, Inc. | Psychiatric Unit | 5000 Ky Route 321, Prestonsburg, KY 41653-9113 | 2019-07-04 |
| 1265091003 | Pineville Community Health Center Inc | Psychiatric Unit | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-06-06 |
| 1720578214 | Pineville Medical Center, LLC | Psychiatric Unit | 850 Riverview Ave, Pineville, KY 40977-1452 | 2018-05-10 |
| 1487184453 | Jennie Stuart Medical Center | Psychiatric Unit | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2017-06-13 |
| 1215390513 | Spring View Hospital LLC | Psychiatric Unit | 320 N Loretto Rd, Lebanon, KY 40033-1300 | 2016-04-04 |
| 1558729228 | T J Health Columbia Inc | Psychiatric Unit | 901 Westlake Dr, Columbia, KY 42728-1123 | 2016-02-09 |
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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.