Organization
LAKE CUMBERLAND REGIONAL HOSPITAL LLC
Active
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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