1300 CAMPBELL LANE OPERATING COMPANY LLC; NPI #1295789295

Contact Information

1300 CAMPBELL LANE OPERATING COMPANY LLC

1300 CAMPBELL LN
BOWLING GREEN, KY 42104-4162

Phone: 270-782-6900
Fax: 270-782-7228
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation Hospital	283X00000X	A0[7]	Hospital-Rehabilitation (PPS excluded)

Indicates primary specialty

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NPI Profile & details for 1300 CAMPBELL LANE OPERATING COMPANY LLC

NPI Number 1295789295

LBN Legal business name 1300 CAMPBELL LANE OPERATING COMPANY LLC

Authorized official BRAD HOLLINGER - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/22/2006

Last updated 09/06/2023 - About 3 years ago

Identifiers

KY	License #	100655
KY	Medicaid	01000272
KY	Other	000000273851	BLUE CROSS BLUE SHIELD

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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1300 CAMPBELL LANE OPERATING COMPANY LLC

Contact Information

Specialty

Rehabilitation Hospital

NPI Profile & details for 1300 CAMPBELL LANE OPERATING COMPANY LLC

Reviews for 1300 CAMPBELL LANE OPERATING COMPANY LLC