COMMONWEALTH OF KENTUCKY (NPI# 1508861683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508861683 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH OF KENTUCKY |
| Other Organization Name | WESTERN STATE HOSPITAL |
| Practice Address |
2400 Russellville Rd Hopkinsville KY 42240-8095 |
| Mailing Address |
2440 Russellville Road Hopkinsville KY 42240 |
| Practice Telephone | 2708896025 |
| Practice Fax Number | 2708864487 |
| Mailing Telephone | 2708896025 |
| Mailing Fax Number | 2708864487 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2015-07-08 |
| Authorized Official Name | STEPHANIE CRAYCRAFT (DIRECTOR) |
| Authorized Official Telephone | 5027826243 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMONWEALTH OF KENTUCKY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 283Q00000X | Psychiatric Hospital | 100072 | KY | Hospitals |
| Y | 283Q00000X | Psychiatric Hospital | KY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 02020022 | 05 |
| Other Name | Type Code |
|---|---|
| Western State Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043686900 | Commonwealth of Kentucky | Skilled Nursing Facility | 100 Veterans Drive, Radcliff, KY 40160 | 2015-08-14 |
| 1245657857 | Commonwealth of Kentucky | Clinic/Center | 2441 Us Highway 27, Somerset, KY 42501 | 2014-03-20 |
| 1730329897 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 400 Eastwood, 2441 S. Hwy 27, Somerset, KY 42501 | 2009-03-03 |
| 1588804546 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 400 Eastwood Dr, 2441 S. Hwy 27, Somersetq, KY 42501 | 2009-03-03 |
| 1770762833 | Commonwealth of Kentucky | Residential Treatment Facility, Physical Disabilities | 5659 Main St, Thelma, KY 41260-8609 | 2007-10-25 |
| 1396962551 | Commonwealth of Kentucky | Nursing Facility/Intermediate Care Facility | 200 Veterans Dr, Hazard, KY 41701-9484 | 2007-04-19 |
| 1124144456 | Commonwealth of Kentucky | Pharmacy | 2400 Russellville Road, Hopkinsville, KY 42240 | 2007-03-21 |
| 1194862599 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 23524 Dawson Springs Rd, Dawson Springs, KY 42408-9205 | 2007-02-01 |
| 1083785125 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 4401-4505 Louise Underwood Way, Louisville, KY 40216 | 2006-11-12 |
| 1689652513 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 210 Meadows Dr, Mt Washington, KY 40047-6013 | 2005-12-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMONWEALTH OF KENTUCKY - DEPARTMENT FOR LOCAL GOVERNMENT | 1024 Capital Center Dr Ste 340, Frankfort, KY 40601-7514 |
| Street Address |
2400 RUSSELLVILLE RD |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240-8095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124167 | Commonwealth of Kentucky | Nursing Facility/Intermediate Care Facility | 2400 Russellville Rd, Us 68 East, Hopkinsville, KY 42241 | 2005-06-16 |
| 1649879693 | Elsie Darlene Foster | Registered Nurse | 2400 Russellville Rd, Hopkinsville, KY 42240-8095 | 2020-10-21 |
| 1770118853 | Benjamin Law | Student in an Organized Health Care Education/Training Program | 2400 Russellville Rd, Genesis East, Hopkinsville, KY 42240-8095 | 2020-03-09 |
| 1134754690 | Nathan Ragsdale | Peer Specialist | 2400 Russellville Rd, Genesis East, Hopkinsville, KY 42240-8095 | 2020-03-05 |
| 1881229383 | Timothy Hendricks | Peer Specialist | 2400 Russellville Rd, Genesis East, Hopkinsville, KY 42240-8095 | 2020-03-05 |
| 1134766603 | Tabatha Hawkins | Registered Nurse | 2400 Russellville Rd, Genesis East, Hopkinsville, KY 42240-8095 | 2019-12-04 |
| 1669017216 | Rocky Trusty | Peer Specialist | 2400 Russellville Rd, Genesis East, Hopkinsville, KY 42240-8725 | 2019-11-07 |
| 1689215915 | David Fontaine | Peer Specialist | 2400 Russellville Rd, Hopkinsville, KY 42240-8095 | 2019-10-08 |
| 1548811557 | Glenn Edwin Childress | Peer Specialist | 2400 Russellville Rd, Hopkinsville, KY 42240-8095 | 2019-09-23 |
| 1164072971 | Joanna Marie Newsome | Student in an Organized Health Care Education/Training Program | 2400 Russellville Rd, Hopkinsville, KY 42240-8095 | 2019-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214264 | Joshua Brian Yates | Pharmacist | 320 West 18th Street, Hopkinsville, KY 42240 | 2020-01-10 |
| 1629540950 | John J Tomasic | Nurse Practitioner | Jennie Stuart Medical Center, 320 W 18th Street, Hopkinsville, KY 42240 | 2018-12-27 |
| 1669962866 | Jeri Lynn Richardson | Developmental Therapist | 119 Forbes Dr, Hopkinsville, KY 42240 | 2018-05-14 |
| 1619416039 | Esther Caro | Case Manager/Care Coordinator | 400a Hammond Plz, Hopkinsville, KY 42240 | 2017-02-17 |
| 1780126532 | Jennifer R. Koranyi | Social Worker | 737b North Dr, Hopkinsville, KY 42240 | 2016-11-10 |
| 1043760937 | Inspira Therapy | Speech-Language Pathologist | 1110 South Main Street, Suite B, Hopkinsville, KY 42240 | 2016-10-04 |
| 1689026049 | Judy Greene Dba Greene Physical Therapy Services | Physical Therapist | 1910 South Virginia Ste., Ste. 108, Hopkinsville, KY 42240 | 2016-07-11 |
| 1083094932 | Cornell Memory Center | Clinic/Center | 101 North Drive, Hopkinsville, KY 42240 | 2015-06-05 |
| 1679978746 | Maulik V Patel | Pharmacist | 2713 A Fort Campbell Blvd, Hopkinsville, KY 42240 | 2014-10-30 |
| 1245630896 | Haregewoin Ezezew Baye | Dentist | 300 Cool Water Ct, Hopkinsville, KY 42240 | 2014-09-02 |
| Find all providers in zip 42240 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801823828 | Bluegrass Regional Psychiatric Services Inc. | Psychiatric Hospital | 627 W Fourth St, Lexington, KY 40508-1294 | 2006-06-26 |
| 1548201379 | Green River Regional Mental Health/mental Retardation Board, Inc. | Psychiatric Hospital | 1000 Industrial Dr, Owensboro, KY 42301-8715 | 2006-06-10 |
| 1366447609 | Central State Hospital | Psychiatric Hospital | 10510 Lagrange Rd, Louisville, KY 40223-1277 | 2005-06-14 |
| 1417486325 | Northern Kentucky Behavioral, LLC | Psychiatric Hospital | 820 Dolwick Drive, Erlanger, KY 41018 | 2017-06-06 |
| 1275953754 | Tbd Acquisition, LLC | Psychiatric Hospital | 1405 Browns Ln, Louisville, KY 40207-4608 | 2014-04-23 |
| 1700023918 | St Claire Regional | Psychiatric Hospital | 222 Medical Cir, Morehead, KY 40351-1179 | 2009-01-09 |
| 1952506008 | United Healtcare of Hardin | Psychiatric Hospital | 3909 S Wilson Rd, Radcliff, KY 40160-8944 | 2007-06-19 |
| 1417167131 | Caritas Peace Center | Psychiatric Hospital | 2020 Newburg Rd, Louisville, KY 40205-1803 | 2007-05-23 |
| 1124237375 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Hospital | 2020 Newburg Rd, Louisville, KY 40205-1803 | 2007-05-22 |
| 1316003361 | Green River Regional Mental Health/mental Retardation Board, Inc. | Psychiatric Hospital | 1000 Industrial Dr, Owensboro, KY 42301-8715 | 2006-12-27 |
| Find all providers with the same taxonomy | ||||
| City | HOPKINSVILLE |
| Zip Code | 42240 |
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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.