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Contact Information

PADUCAH HEALTHCARE PROVIDERS, 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 PADUCAH HEALTHCARE PROVIDERS, LLC

NPI # 1912145822
LBN Legal business name PADUCAH HEALTHCARE PROVIDERS, LLC
Authorized official RONALD SANBORN - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/30/2009
Last updated 05/19/2009 - About 17 years ago
Identifiers
TX License # 4459
TX Medicaid 001016724
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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