Organization
ROCKCASTLE HEALTH AND REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES BLACK (CFO)
(606) 256-2195
Entity
Organization
Contact information
Practice address
371 WEST MAIN STREET, BRODHEAD, KY 40409-9701
(606) 758-8711
Mailing address
371 WEST MAIN STREET, BRODHEAD, KY 40409-9701
(606) 758-8711
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100375
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054638
BLUE CROSS BLUE SHIELD
KY
01
—
0641200001
DME
KY
05
—
12501037
—
KY
Enumeration date
02/10/2006
Last updated
08/22/2020
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