Provider Demographics
NPI:1376889055
Name:ROYAL TREATMENT HEALTHCARE INC
Entity Type:Organization
Organization Name:ROYAL TREATMENT HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARGO
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:606-546-2598
Mailing Address - Street 1:4671 S US HIGHWAY 25E
Mailing Address - Street 2:
Mailing Address - City:BIMBLE
Mailing Address - State:KY
Mailing Address - Zip Code:40915-0000
Mailing Address - Country:US
Mailing Address - Phone:606-546-2598
Mailing Address - Fax:
Practice Address - Street 1:4671 S US HIGHWAY 25E
Practice Address - Street 2:
Practice Address - City:BIMBLE
Practice Address - State:KY
Practice Address - Zip Code:40915-0000
Practice Address - Country:US
Practice Address - Phone:606-546-2598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-27
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY900288261QR1300X
KY3002774363L00000X
363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Single Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty