Organization
BARBOURVILLE NURSING HOME, INC.
Active
Parent organization
FIRST CORBIN LONG TERM CARE, INC.
Other names
Barbourville Nursing Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST CORBIN LONG TERM CARE, INC.
Authorized official
MR. TERRY EMANUEL FORCHT (CHAIRMAN)
(606) 528-9600
Entity
Organization
Contact information
Practice address
117 SHELBY ST, BARBOURVILLE, KY 40906-1623
(606) 546-5136
(606) 546-5138
Mailing address
PO BOX 1090, BARBOURVILLE, KY 40906-5090
(606) 546-5136
(606) 546-5138
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100275
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054764
ANTHEM BCBS
KY
01
—
036104200
FEDERAL BLACK LUNG
—
05
—
12501235
—
KY
Enumeration date
08/31/2006
Last updated
05/07/2008
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