Organization
CLARK REGIONAL MEDICAL CENTER, INC
Active
Organization
CLARK REGIONAL MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT DONALD FRARACCIO (CEO)
(859) 745-3500
Entity
Organization
Contact information
Practice address
1107 W LEXINGTON AVE, WINCHESTER, KY 40391-1169
(859) 745-3500
(859) 745-3450
Mailing address
PO BOX 950, 1107 WEST LEXINGTON AVENUE, WINCHESTER, KY 40392-0950
(859) 745-3500
(859) 745-3450
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
100073
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12700084
—
KY
Enumeration date
10/03/2006
Last updated
05/20/2010
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