1300 CAMPBELL LANE OPERATING COMPANY LLC (NPI# 1295789295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295789295 |
Entity Type | Organization |
Organization Name | 1300 CAMPBELL LANE OPERATING COMPANY LLC |
Other Organization Name | SOUTHERN KENTUCKY REHABILITATION HOSPITAL |
Practice Address |
1300 Campbell Ln Bowling Green KY 42104-4162 |
Mailing Address |
5 East River Park Place E #460 Fresno CA 93720-1560 |
Practice Telephone | 2707826900 |
Practice Fax Number | 2707827228 |
Mailing Telephone | 5598922500 |
Mailing Fax Number | 5598922442 |
Enumeration Date | 2006-05-22 |
Last Update Date | 2018-12-17 |
Authorized Official Name | MR. CLINT T. FEGAN (SEC/TREAS) |
Authorized Official Telephone | 7175915700 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 283X00000X | Rehabilitation Hospital | 100655 | KY | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 01000272 | 05 | |
KY | BLUE CROSS BLUE SHIELD | 000000273851 | 01 |
Other Name | Type Code |
---|---|
Southern Kentucky Rehabilitation Hospital | Doing Business As Name - Organization |
Street Address |
1300 CAMPBELL LN |
City | BOWLING GREEN |
State | KY |
Zip Code | 42104-4162 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932721354 | Brittany Michelle Camp | Occupational Therapy Assistant | 1300 Campbell Ln, Bowling Green, KY 42104-4162 | 2020-05-07 |
1083153241 | Andrea Jones | Physical Therapist | 1300 Campbell Ln, Bowling Green, KY 42104-4162 | 2017-02-20 |
1083969083 | William David Gill | Pharmacist | 1300 Campbell Ln, Bowling Green, KY 42104-4162 | 2012-07-17 |
1568697811 | Susan Bandy | Physical Therapy Assistant | 1300 Campbell Ln, Bowling Green, KY 42104-4162 | 2009-05-15 |
1356509905 | Lydia Pauline Cummins | Occupational Therapy Assistant | 1300 Campbell Ln, Bowling Green, KY 42104-4162 | 2008-05-30 |
1235339151 | Melissa Mathews | Clinical Neuropsychologist | 1300 Campbell Ln, Bowling Green, KY 42104-4162 | 2007-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
Find all providers in zip 42104 |
Taxonomy Code | 283X00000X |
Grouping | Hospitals |
Classification | Rehabilitation Hospital |
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548631914 | Center for Comprehensive Services, Inc | Rehabilitation Hospital | 103 Windsor Path, Georgetown, KY 40324-9610 | 2015-10-12 |
1194195586 | Center for Comprehensive Services, Inc | Rehabilitation Hospital | 2150 Carter Ave, Ashland, KY 41101-7734 | 2015-09-29 |
1912324591 | Center for Comprehensive Services, Inc. | Rehabilitation Hospital | 103 Windsor Path Way, Georgetown, KY 40324 | 2014-03-21 |
1487700530 | Center for Comprehensive Services, Inc. | Rehabilitation Hospital | 927 Tipton Ln, Paducah, KY 42001-4680 | 2007-01-25 |
1972577815 | Encompass Health Rehabilitation Hospital of Lakeview, LLC | Rehabilitation Hospital | 134 Heartland Dr, Elizabethtown, KY 42701-2778 | 2006-02-16 |
1538132253 | Encompass Health Rehabilitation Hospital of Northern Kentucky, LLC | Rehabilitation Hospital | 201 Medical Village Dr, Edgewood, KY 41017-3407 | 2006-02-13 |
1316917198 | Uhs of Ridge LLC | Rehabilitation Hospital | 3050 Rio Dosa Dr, Lexington, KY 40509-1540 | 2006-01-25 |
1518962356 | Kentucky Correctional Psychiatric Center | Rehabilitation Hospital | 1612 Dawkins Rd, La Grange, KY 40031-8729 | 2005-06-17 |
1508375734 | Center for Comprehensive Services, Inc. | Rehabilitation Hospital | 7627 Ewing Blvd, Florence, KY 41042-1818 | 2017-09-20 |
1174066849 | Center for Comprehensive Services, Inc | Rehabilitation Hospital | 448 Lewis Hargett Cir, Ste 100, Lexington, KY 40503-3594 | 2016-11-29 |
Find all providers with the same taxonomy |
City | BOWLING GREEN |
Zip Code | 42104 |
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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.