Provider Demographics
NPI:1093132300
Name:CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH, INC.
Entity Type:Organization
Organization Name:CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH, INC.
Other - Org Name:CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-943-1225
Mailing Address - Street 1:7800 DALLAS PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-4076
Mailing Address - Country:US
Mailing Address - Phone:972-943-6400
Mailing Address - Fax:972-943-6401
Practice Address - Street 1:2501 KENTUCKY AVE
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-3813
Practice Address - Country:US
Practice Address - Phone:972-943-6435
Practice Address - Fax:855-633-2022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
282E00000X
KY100313282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
No282N00000XHospitalsGeneral Acute Care Hospital