LAKE CUMBERLAND REGIONAL HOSPITAL LLC (NPI# 1023155462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023155462 |
| Entity Type | Organization |
| Organization Name | LAKE CUMBERLAND REGIONAL HOSPITAL LLC |
| Other Organization Name | LAKE CUMBERLAND MEDICAL ASSOCIATES |
| Practice Address |
305 Langdon St Somerset KY 42503-2750 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 6066797441 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-06-09 |
| Authorized Official Name | KATHY J. TEAGUE (ASSISTANT VICE PRESIDENT, SECRETARY) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lake Cumberland Medical Associates | 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 |
| 1629130562 | Lake Cumberland Regional Hospital LLC | Skilled Nursing Facility | 305 Langdon St, Somerset, KY 42503-2750 | 2006-12-15 |
| 1437210069 | Lake Cumberland Regional Hospital LLC | Psychiatric Unit | 305 Langdon St, Somerset, KY 42503-2750 | 2006-12-13 |
| 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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| 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 |
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| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
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| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
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| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
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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.