Provider Demographics
NPI:1639365885
Name:ROLLING HILLS CHIROPRACTIC, PSC
Entity Type:Organization
Organization Name:ROLLING HILLS CHIROPRACTIC, PSC
Other - Org Name:LOUIS BAILEY, DC, PSC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:859-494-8322
Mailing Address - Street 1:3516 FOREST COVE LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40515-6401
Mailing Address - Country:US
Mailing Address - Phone:859-494-8322
Mailing Address - Fax:
Practice Address - Street 1:80 CODELL DR
Practice Address - Street 2:SUITE 150B
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1179
Practice Address - Country:US
Practice Address - Phone:859-494-8322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROLLING HILLS CHIROPRACTIC, PSC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-21
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3972111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000356083OtherANTHEM BC BS
KY859001246Medicaid
KY6094801Medicare UPIN