Organization
ROCKCASTLE COUNTY HOSPITAL, INC.
Active
Other names
Rockcastle Pediatrics and Adolescents
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES D BLACK JR. (CFO)
(606) 256-7745
Entity
Organization
Contact information
Practice address
140 NEWCOMB AVE, MOUNT VERNON, KY 40456-2725
(606) 256-4148
(606) 256-7785
Mailing address
140 NEWCOMB AVE, MOUNT VERNON, KY 40456-2725
(606) 256-4148
(606) 256-7785
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
—
KY
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
KY
Other
Enumeration date
03/05/2013
Last updated
06/11/2013
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