Organization
WOLFE COUNTY HEALTH CARE CENTER, INC.
Active
Parent organization
FIRST CORBIN LONG TERM CARE, INC.
Other names
Wolfe County Health Care Center
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
838 KY HWY 191, CAMPTON, KY 41301
(606) 668-3216
(606) 668-3220
Mailing address
PO BOX 370, CAMPTON, KY 41301-0370
(606) 668-3216
(606) 668-3220
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100636
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054870
ANTHEM BCBS
KY
05
—
12500013
—
KY
01
—
610038100
FEDERAL BLACK LUNG
—
Enumeration date
09/06/2006
Last updated
05/07/2008
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