# HIGHLANDS REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013006022
- **Authorized official:** MR. JACK G BLACKWELL (CFO)
- **Authorized official phone:** (606) 886-7548

## Contact information

- **Practice address:** 5000 KY ROUTE 321, PRESTONSBURG, KY 41653-9113
- **Practice address phone:** (606) 886-8511
- **Practice address fax:** (606) 886-7761
- **Mailing address:** PO BOX 668, PRESTONSBURG, KY 41653-0668
- **Mailing address phone:** (606) 886-8511
- **Mailing address fax:** (606) 886-7761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100726 | KY | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000054641 | ANTHEM BLUE CROSS PROV \# | KY |