Organization
1300 CAMPBELL LANE OPERATING COMPANY LLC
Active
Other names
Southern Kentucky Rehabilitation Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD EUGENE HOLLINGER (PRESIDENT)
(717) 591-5700
Entity
Organization
Contact information
Practice address
1300 CAMPBELL LN, BOWLING GREEN, KY 42104-4162
(270) 782-6900
(270) 782-7228
Mailing address
PO BOX 26657, FRESNO, CA 93729-6657
(559) 892-2500
(559) 892-2444
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
100655
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000273851
BLUE CROSS BLUE SHIELD
KY
05
—
01000272
—
KY
Enumeration date
05/22/2006
Last updated
09/06/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up