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Organization

LAKE CUMBERLAND REGIONAL HOSPITAL LLC

Active
Parent organization
LAKE CUMBERLAND REGIONAL HOSPITAL LLC
Other names
Advance Lung & Sleep Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
LAKE CUMBERLAND REGIONAL HOSPITAL LLC
Authorized official
THOMAS WEISS (PRESIDENT)
(612) 372-8500
Entity
Organization

Contact information

Practice address
350 HOSPITAL WAY, SUITE 250, SOMERSET, KY 42503-2872
(606) 678-0171
(606) 678-2087
Mailing address
350 HOSPITAL WAY, SUITE 250, SOMERSET, KY 42503-2872
(606) 678-0171
(606) 678-2087

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CG4101
RAILROAD - MEDICARE
Enumeration date
08/07/2007
Last updated
03/26/2009
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