Provider Demographics
NPI:1609839208
Name:CONTINUECARE HOSPITAL AT BAPTIST HEALTH,LLC
Entity Type:Organization
Organization Name:CONTINUECARE HOSPITAL AT BAPTIST HEALTH,LLC
Other - Org Name:CONTINUECARE HOSPITAL AT BAPTIST HEALTH CORBIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:R
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:COPPOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-523-5150
Mailing Address - Street 1:1 TRILLIUM WAY
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-8426
Mailing Address - Country:US
Mailing Address - Phone:606-523-5150
Mailing Address - Fax:606-523-5160
Practice Address - Street 1:1 TRILLIUM WAY
Practice Address - Street 2:
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701-8426
Practice Address - Country:US
Practice Address - Phone:606-523-5150
Practice Address - Fax:606-523-5160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-07
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000365518OtherBLUE CROSS
KY01000363Medicaid
KY01000363Medicaid