Organization
TAYLOR COUNTY HOSPITAL DISTRICT HEALTH FACILITIES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES ARTHUR SABO, JR. (ACCOUNTS RECEIVABLE MANAGER)
(270) 789-5785
Entity
Organization
Contact information
Practice address
1700 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9615
(270) 465-3561
(270) 789-5882
Mailing address
1700 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9615
(270) 465-3561
(270) 789-5882
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
100394
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054661
ANTHEM TECHNICAL ID#
KY
01
—
000000061960
ANTHEM LAB ID#
KY
01
—
000000072489
ANTHEM PROFESSIONAL ID#
KY
05
—
01021039
—
KY
01
—
1061503
PASSPORT ID#
KY
01
—
2434238000
PASSPORT ADVANTAGE ID#
KY
01
—
5000074
UNITED HEALTHCARE ID#
KY
Enumeration date
10/06/2006
Last updated
05/07/2008
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