Organization
LAKE CUMBERLAND REGIONAL HOSPITAL LLC
Active
Other names
Lake Cumberland Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM M. GRACEY (CHIEF OPERATING OFFICER)
(615) 372-8500
Entity
Organization
Contact information
Practice address
305 LANGDON ST, SOMERSET, KY 42503-2750
(606) 679-7441
Mailing address
103 POWELL CT, SUITE 200, BRENTWOOD, TN 37027-5079
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65938151
—
KY
Enumeration date
02/02/2007
Last updated
09/11/2025
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