Organization
UHS OF BOWLING GREEN LLC
Active
Other names
Rivendell of Kentucky
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (CFO SR VP)
(610) 768-3300
Entity
Organization
Contact information
Practice address
1035 PORTER PIKE RD, BOWLING GREEN, KY 42103-9581
(270) 843-1199
Mailing address
1035 PORTER PIKE RD, BOWLING GREEN, KY 42103-9581
(270) 843-1199
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
100564
KY
282NR1301X
Rural Acute Care Hospital
100564
KY
283Q00000X
Psychiatric Hospital
Primary
100564
KY
283X00000X
Rehabilitation Hospital
100564
KY
283XC2000X
Children's Rehabilitation Hospital
100564
KY
284300000X
Special Hospital
100564
KY
363L00000X
Nurse Practitioner
100564
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000330593
BLUE CROSS
KY
05
—
02000024
—
KY
05
—
29100096
—
KY
05
—
29200094
—
KY
05
—
45002284
—
KY
05
—
65941296
—
KY
Enumeration date
01/25/2006
Last updated
01/23/2013
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