# HAZARD NURSING HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FIRST CORBIN LONG TERM CARE, INC.
- **Other names:** Hazard Nursing Home
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124121033
- **Legal business name:** FIRST CORBIN LONG TERM CARE, INC.
- **Authorized official:** MR. TERRY EMANUEL FORCHT (CHAIRMAN)
- **Authorized official phone:** (606) 528-9600

## Contact information

- **Practice address:** 390 PARK AVE., HAZARD, KY 41701
- **Practice address phone:** (606) 439-2306
- **Practice address fax:** (606) 439-2275
- **Mailing address:** PO BOX 1329, HAZARD, KY 41702-1329
- **Mailing address phone:** (606) 439-2306
- **Mailing address fax:** (606) 439-2275

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100462 | KY | Yes |

## Other

- **Enumeration date:** 09/06/2006
- **Last updated:** 05/07/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000054718 | ANTHEM BCBS | KY |
| 05 | — | 12500179 | — | KY |