Organization
ROCKCASTLE COUNTY HOSPITAL, INC.
Active
Other names
Rockcastle Family Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDY L BULLOCK (ADMINISTRATOR)
(606) 256-7761
Entity
Organization
Contact information
Practice address
140 NEWCOMB AVE, MOUNT VERNON, KY 40456-2728
(606) 256-4148
(606) 256-7410
Mailing address
140 NEWCOMB AVE, MOUNT VERNON, KY 40456-2728
(606) 256-4148
(606) 256-7410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207VG0400X
Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
100374
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900239
STATE LICENSE NUMBER
KY
01
—
K017200
MEDICARE PART B
—
Enumeration date
08/04/2010
Last updated
02/28/2014
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