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Organization
TAYLOR REGIONAL HOSPITAL URGENT CARE CENTER, LLC
Active
Organization
TAYLOR REGIONAL HOSPITAL URGENT CARE CENTER, LLC
Active
Parent organization
TAYLOR REGIONAL HOSPITAL URGENT CARE CENTER, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TAYLOR REGIONAL HOSPITAL URGENT CARE CENTER, LLC
Authorized official
MRS. MATILDA CAROL WRIGHT (UCC DIRECTOR)
(270) 932-2221
Entity
Organization
Contact information
Practice address
1911 CAMPBELLSVILLE RD, GREENSBURG, KY 42743-7758
(270) 932-2221
(270) 932-2201
Mailing address
1911 CAMPBELLSVILLE RD, GREENSBURG, KY 42743-7758
(270) 932-2221
(270) 932-2201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000526336
ANTHEM
KY
05
—
7100006720
—
KY
05
—
7100011450
—
KY
05
—
78010741
—
KY
Enumeration date
05/25/2007
Last updated
05/15/2009
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