Provider Demographics
NPI:1477701662
Name:ROCKCASTLE HOSPITAL AND RESPIRATORY CARE CENTER, INC.
Entity Type:Organization
Organization Name:ROCKCASTLE HOSPITAL AND RESPIRATORY CARE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:MYERS
Authorized Official - Last Name:MARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CFY/SLP
Authorized Official - Phone:606-256-7892
Mailing Address - Street 1:145 NEWCOMB AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:KY
Mailing Address - Zip Code:40456-2728
Mailing Address - Country:US
Mailing Address - Phone:606-256-2195
Mailing Address - Fax:606-256-0785
Practice Address - Street 1:145 NEWCOMB AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:KY
Practice Address - Zip Code:40456-2728
Practice Address - Country:US
Practice Address - Phone:606-256-2195
Practice Address - Fax:606-256-0785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1104890714282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1104890714Medicaid