# GALLATIN HEALTH CARE, LLC

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

## Provider details

- **NPI number:** 1336233212
- **Authorized official:** MR. MARK BOWMAN (PRESIDENT)
- **Authorized official phone:** (859) 272-6682

## Contact information

- **Practice address:** 499 CENTER STREET, WARSAW, KY 41095-0968
- **Practice address phone:** (859) 567-4548
- **Practice address fax:** (859) 567-5264
- **Mailing address:** PO BOX 968, 499 CENTER STREET, WARSAW, KY 41095-0968
- **Mailing address phone:** (859) 567-4548
- **Mailing address fax:** (859) 567-5264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100632 | KY | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 100632 | KY | — |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 100632 | KY | — |
| 335E00000X | Prosthetic/Orthotic Supplier | 100632 | KY | — |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 10/02/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000054848 | ANTHEM BC/BS | KY |
| 05 | — | 12502167 | — | KY |