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Organization
HIGHLANDS REGIONAL MEDICAL CENTER
Active
Organization
HIGHLANDS REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK G BLACKWELL (CFO)
(606) 886-7548
Entity
Organization
Contact information
Practice address
5000 KY ROUTE 321, PRESTONSBURG, KY 41653-9113
(606) 886-8511
(606) 886-7761
Mailing address
PO BOX 668, PRESTONSBURG, KY 41653-0668
(606) 886-8511
(606) 886-7761
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100726
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054641
ANTHEM BLUE CROSS PROV #
KY
Enumeration date
10/11/2006
Last updated
08/22/2020
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