Organization
GALLATIN HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK BOWMAN (PRESIDENT)
(859) 272-6682
Entity
Organization
Contact information
Practice address
499 CENTER STREET, WARSAW, KY 41095-0968
(859) 567-4548
(859) 567-5264
Mailing address
PO BOX 968, 499 CENTER STREET, WARSAW, KY 41095-0968
(859) 567-4548
(859) 567-5264
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100632
KY
332B00000X
Durable Medical Equipment & Medical Supplies
100632
KY
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
100632
KY
335E00000X
Prosthetic/Orthotic Supplier
100632
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054848
ANTHEM BC/BS
KY
05
—
12502167
—
KY
Enumeration date
10/03/2006
Last updated
10/02/2007
Update your record
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