Provider Demographics
NPI:1497130421
Name:FLEMING MEDICAL CENTER, LLC
Entity Type:Organization
Organization Name:FLEMING MEDICAL CENTER, LLC
Other - Org Name:BRIDGES HOME MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:RAPLEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-920-7000
Mailing Address - Street 1:PO BOX 388
Mailing Address - Street 2:777 ELIZAVILLE AVE
Mailing Address - City:FLEMINGSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41041-0388
Mailing Address - Country:US
Mailing Address - Phone:606-845-0000
Mailing Address - Fax:
Practice Address - Street 1:777 ELIZAVILLE AVE
Practice Address - Street 2:
Practice Address - City:FLEMINGSBURG
Practice Address - State:KY
Practice Address - Zip Code:41041-9803
Practice Address - Country:US
Practice Address - Phone:606-845-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIFEPOINT HEALTH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-07-20
Last Update Date:2017-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100370350Medicaid
KY7100370350Medicaid