# TAYLOR REGIONAL HOSPITAL URGENT CARE CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TAYLOR REGIONAL HOSPITAL URGENT CARE CENTER, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376754861
- **Legal business name:** TAYLOR REGIONAL HOSPITAL URGENT CARE CENTER, LLC
- **Authorized official:** MRS. MATILDA CAROL WRIGHT (UCC DIRECTOR)
- **Authorized official phone:** (270) 932-2221

## Contact information

- **Practice address:** 1911 CAMPBELLSVILLE RD, GREENSBURG, KY 42743-7758
- **Practice address phone:** (270) 932-2221
- **Practice address fax:** (270) 932-2201
- **Mailing address:** 1911 CAMPBELLSVILLE RD, GREENSBURG, KY 42743-7758
- **Mailing address phone:** (270) 932-2221
- **Mailing address fax:** (270) 932-2201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/25/2007
- **Last updated:** 05/15/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000526336 | ANTHEM | KY |
| 05 | — | 7100006720 | — | KY |
| 05 | — | 7100011450 | — | KY |
| 05 | — | 78010741 | — | KY |