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Contact Information

COMMONWEALTH OF KENTUCKY
1350 BULL LEA RD
LEXINGTON, KY40511-1247
 Phone: 859-246-8000
 Fax: 859-246-8043
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for COMMONWEALTH OF KENTUCKY

NPI # 1356764559
LBN Legal business name COMMONWEALTH OF KENTUCKY
Authorized official WENDY MORRIS - (DEPUTY COMMISSIONER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/24/2014
Last updated 11/03/2015 - About 11 years ago
Identifiers
KY License # 101245
KY Medicaid 7100344920
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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