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Contact Information

COVENANT CARE CENTER OF PADUCAH, LLC
800 7TH STREET
PADUCAH, TX79248
 Phone: 806-492-3516
 Fax: 806-492-2366
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for COVENANT CARE CENTER OF PADUCAH, LLC

NPI Number 1093855355
LBN Legal business name COVENANT CARE CENTER OF PADUCAH, LLC
Authorized official RONALD SANBORN - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/07/2007
Last updated 10/30/2007 - About 19 years ago
Identifiers
TX License # 4459
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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