# BOURBON COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BOURBON COMMUNITY HOSP ER PHYSICIANS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245356781
- **Authorized official:** DANA L EVANS (PROVIDER ENROLLMENT REP)
- **Authorized official phone:** (270) 744-9600

## Contact information

- **Practice address:** 9 LINVILLE DR, PARIS, KY 40361-2129
- **Practice address phone:** (859) 987-1018
- **Practice address fax:** (859) 987-1144
- **Mailing address:** PO BOX 9150, PADUCAH, KY 42002-9150
- **Mailing address phone:** (270) 744-9600
- **Mailing address fax:** (270) 744-8642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000063648 | BCBS GROUP | KY |
| 05 | — | 65939324 | — | KY |