National Provider Identifier Database

HARDIN COUNTY HARDIN COUNTY JAIL
Land Transport


Contact Information

HARDIN COUNTY & HARDIN COUNTY JAIL
170 NORTH PROVIDENT WAY
ELIZABETHTOWN, KY42701
Phone: 270-769-3014
Fax: 270-769-0387
Website:
Specialty Taxonomy Code
* Land Transport 3416L0300X

* Indicates primary specialty

NPI Profile & details for HARDIN COUNTY & HARDIN COUNTY JAIL

NPI Number 1104887975
Legal business name
LBN
HARDIN COUNTY & HARDIN COUNTY JAIL
Authorized official MARK PETERSON - (EMS DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/31/2006
Last updated 06/11/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 1082
  • KY Medicaid: 55047039
  • KY Medicaid: 56004039
  • KY Other: 000000070443 ANTHEM
  • KY Other: 2434483000 PASSPORT ADVANTAGE
  • KY Other: 1065175 PASSPORT HEALTH
  • KY Other: 590087617 RR MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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