BOURBON COMMUNITY HOSPITAL (NPI# 1245356781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245356781 |
| Entity Type | Organization |
| Organization Name | BOURBON COMMUNITY HOSPITAL |
| Other Organization Name | BOURBON COMMUNITY HOSP ER PHYSICIANS |
| Practice Address |
9 Linville Dr Paris KY 40361-2129 |
| Mailing Address |
Po Box 9150 Paducah KY 42002-9150 |
| Practice Telephone | 8599871018 |
| Practice Fax Number | 8599871144 |
| Mailing Telephone | 2707449600 |
| Mailing Fax Number | 2707448642 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DANA L EVANS (PROVIDER ENROLLMENT REP) |
| Authorized Official Telephone | 2707449600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians | ||
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | BCBS GROUP | 000000063648 | 01 |
| KY | 65939324 | 05 |
| Other Name | Type Code |
|---|---|
| BOURBON COMMUNITY HOSP ER PHYSICIANS | Doing Business As Name - Organization |
| Street Address |
9 LINVILLE DR |
| City | PARIS |
| State | KY |
| Zip Code | 40361-2129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255355541 | Julia M Huber | Emergency Medicine | 9 Linville Dr, Paris, KY 40361-2129 | 2006-07-27 |
| 1114465234 | Edgar Torres-ortez | Family Medicine | 9 Linville Dr, Paris, KY 40361-2129 | 2017-02-09 |
| 1790195717 | Bourbon Physician Practice LLC | Counselor | 9 Linville Dr, Paris, KY 40361-2129 | 2014-04-29 |
| 1568887941 | Hospital Medicine Services of Kentucky P.s.c. | Family Medicine | 9 Linville Dr, Paris, KY 40361-2129 | 2014-02-21 |
| 1477897718 | Shri Vaish Pllc | Psychiatry & Neurology | 9 Linville Dr, Paris, KY 40361-2129 | 2012-11-26 |
| 1447436530 | Cheryl M. Marx | Dietitian, Registered | 9 Linville Dr, Paris, KY 40361-2129 | 2008-01-18 |
| 1902089865 | Bourbon Community Hospital LLC | Psychiatric Unit | 9 Linville Dr, Paris, KY 40361-2129 | 2007-12-13 |
| 1679779805 | William Hunter Housman | Internal Medicine | 9 Linville Dr, Paris, KY 40361-2129 | 2007-06-25 |
| 1558483396 | Robert Casey Wilson | Emergency Medicine | 9 Linville Dr, Paris, KY 40361-2129 | 2007-04-04 |
| 1467584193 | Bourbon Community Hospital LLC | Clinical Medical Laboratory | 9 Linville Dr, Paris, KY 40361-2129 | 2007-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588157739 | Maria Renee Koerner | Counselor | 5 Linville Dr., Ste 102, Paris, KY 40361 | 2018-06-12 |
| 1922353432 | Bluegrass Hearing Clinic, LLC | Audiologist | 20 E 5th St, Paris, KY 40361 | 2012-07-20 |
| 1376670828 | Robert Allen Biddle | Emergency Medicine | 4888 Lexington Rd, Paris, KY 40361 | 2007-02-28 |
| 1396801395 | Bourbon Family Dentistry | Dentist | 4223 A Lexington Rd, Paris, KY 40361 | 2006-12-28 |
| 1669535795 | Liza Levy | Family Medicine | 2017 South Main Street, Paris, KY 40361 | 2006-12-19 |
| 1114088770 | Wal-mart East, Lp | Technician/Technologist | 305 Letton Dr., Paris, KY 40361 | 2006-12-13 |
| 1235200205 | Mariam Susanne Fallahzadeh | Dentist | 4223a Lexington Road, Bourbon Family Dentistry Pllc, Paris, KY 40361 | 2006-11-13 |
| 1245313246 | Vargo Enterprises Inc | Clinical Medical Laboratory | 2017 South Main, Paris, KY 40361 | 2006-10-23 |
| 1831289131 | Kpi Therapy | Contractor | 436 Houston Oaks, Paris, KY 40361 | 2006-10-15 |
| 1184738999 | Chester Raymond Young Jr. | Family Medicine | 22 Clinic Dr, Paris, KY 40361 | 2006-08-18 |
| Find all providers in zip 40361 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568000131 | Larry M Owens | Emergency Medicine | 22 Mercy Ct, Irvine, KY 40336-1331 | 2019-12-14 |
| 1245705052 | Caylon Napier | Emergency Medicine | 76 Willard Ln, Beattyville, KY 41311 | 2018-10-08 |
| 1376869461 | Nathan Michael Bullington | Emergency Medicine | 3950 Kresge Way Ste 405, Louisville, KY 40207-4637 | 2010-04-14 |
| 1437182987 | Bhadra Parikh | Emergency Medicine | 3699 Alexandria Pike, Cold Spring, KY 41076-1789 | 2006-07-08 |
| 1265490171 | Jmhc Inc | Emergency Medicine | 2325 Concrete Rd, Carlisle, KY 40311-9721 | 2006-05-02 |
| 1558336396 | Leland J Irwin | Emergency Medicine | 1740 Nicholasville Road, Lexington, KY 40503 | 2006-02-22 |
| 1912544958 | Methodist Health, Inc. | Emergency Medicine | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-12-10 |
| 1578917142 | Steve Duleh | Emergency Medicine | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2016-04-19 |
| 1144524802 | Baptist Community Health Services | Emergency Medicine | 2600 Stanley Gault Pkwy, Suite 201, Louisville, KY 40223-4197 | 2011-01-10 |
| 1508160276 | Baptist Community Health Services | Emergency Medicine | 2400 Eastpoint Pkwy, Suite 100, Louisville, KY 40223-4154 | 2011-01-10 |
| Find all providers with the same taxonomy | ||||
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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.