Organization
HOSPITAL OF LOUISA, INC.
Active
Organization
HOSPITAL OF LOUISA, INC.
Active
Parent organization
HOSPITAL OF LOUISA, INC.
Other names
Three Rivers Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPITAL OF LOUISA, INC.
Authorized official
RANDY MICHAEL COOPER (SVP FINANCE OP/AUTHORIZED OFFICIAL)
(615) 221-3840
Entity
Organization
Contact information
Practice address
HIGHWAY 644, LOUISA, KY 41230
(606) 638-9451
Mailing address
PO BOX 60990, SAINT LOUIS, MO 63160-0990
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
100282
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001027000
—
WV
05
—
1022292
—
KY
Enumeration date
02/02/2006
Last updated
08/11/2020
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