Organization
KENTUCKY HOSPITAL, LLC
Active
Other names
Clark Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE DILLON (ASSISTANT SECRETARY)
(502) 596-7220
Entity
Organization
Contact information
Practice address
175 HOSPITAL DR, WINCHESTER, KY 40391-9591
(859) 745-3500
(859) 745-3450
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-4536
(615) 920-7000
(615) 920-8913
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/21/2010
Last updated
04/27/2022
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