1300 CAMPBELL LANE OPERATING COMPANY LLC


Address: 1300 Campbell Ln, Bowling Green, KY 42104-4162
Phone: 2707826900

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 283X00000X Rehabilitation Hospital 100655 KY Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
KY 01000272 05
KY BLUE CROSS BLUE SHIELD 000000273851 01

Other Provider/Organization Names

Other Name Type Code
Southern Kentucky Rehabilitation Hospital Doing Business As Name - Organization

Office Location

Street Address 1300 CAMPBELL LN
City BOWLING GREEN
State KY
Zip Code 42104-4162

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 283X00000X
Grouping Hospitals
Classification Rehabilitation Hospital

Taxonomy Definition

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

Providers in the same taxonomy and state

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
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Competitor

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City BOWLING GREEN
Zip Code 42104

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Dataset Information

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.

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