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Contact Information

WENDELL FOSTER'S CAMPUS FOR DEVELOPMENTAL DISABILITIES
815 TRIPLETT ST
OWENSBORO, KY42303-3564
 Phone: 270-683-4517
 Fax: 270-683-0079
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

261QR0401X B4[14] Comprehensive Outpatient Rehabilitation Facility
 

Adult Mental Health

261QM0850X
 

Intermediate Care Facility, Mentally Retarded

315P00000X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for WENDELL FOSTER'S CAMPUS FOR DEVELOPMENTAL DISABILITIES

NPI Number 1407879349
LBN Legal business name WENDELL FOSTER'S CAMPUS FOR DEVELOPMENTAL DISABILITIES
Authorized official SANDY HAYDEN - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/25/2006
Last updated 04/10/2026 - About 2 months ago
Identifiers
KY Medicaid 33000035
KY Medicaid 45118379
KY Medicaid 7100337840
KY Medicaid 7100343070
KY Medicaid 7100344330
KY Medicaid 7100427110
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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