Provider Demographics
NPI:1851026181
Name:SELECT HEALTH LLC
Entity Type:Organization
Organization Name:SELECT HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LENA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOKEY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:270-535-8879
Mailing Address - Street 1:979 LOVERS LN STE 3
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42103-7148
Mailing Address - Country:US
Mailing Address - Phone:270-904-9120
Mailing Address - Fax:270-904-9121
Practice Address - Street 1:979 LOVERS LN STE 3
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42103-7148
Practice Address - Country:US
Practice Address - Phone:270-904-9120
Practice Address - Fax:270-904-9121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty