| Lake Cumberland Regional Hospital Llc | |
|
305 Langdon St Somerset KY 42503-2750 | |
| (606) 679-7441 | |
| (606) 678-9919 |
| Full Name | Lake Cumberland Regional Hospital Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 305 Langdon St, Somerset, Kentucky |
| Authorized Official Name and Position | Terrance Dillon (ASSISTANT SECRETARY) |
| Authorized Official Contact | 5025967220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Cumberland Regional Hospital Llc 330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | Lake Cumberland Regional Hospital Llc 305 Langdon St Somerset KY 42503-2750 Ph: (606) 679-7441 |
| NPI Number | 1437210069 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 04/25/2022 |
| Certification Date | 04/25/2022 |
| Medicare PECOS PAC ID | 7214909456 |
|---|---|
| Medicare Enrollment ID | O20071002000180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437210069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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