Organization
BARREN RIVER REGIONAL CANCER CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE D. SMITH (PRESIDENT & CEO)
(270) 745-1262
Entity
Organization
Contact information
Practice address
103 TRISTA LN, GLASGOW, KY 42141-3482
(270) 651-2478
(270) 651-9264
Mailing address
PO BOX 1867, BOWLING GREEN, KY 42102-1867
(270) 745-1467
(270) 745-1417
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
730074
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86000304
—
KY
Enumeration date
12/06/2005
Last updated
06/07/2012
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