Provider Demographics
NPI:1740354430
Name:CENTER FOR HEALTHCARE INNOVATIONS PSC
Entity type:Organization
Organization Name:CENTER FOR HEALTHCARE INNOVATIONS PSC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-982-1200
Mailing Address - Street 1:1107 CROWN POINTE DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-7123
Mailing Address - Country:US
Mailing Address - Phone:270-982-1200
Mailing Address - Fax:270-234-1952
Practice Address - Street 1:1107 CROWN POINTE DR
Practice Address - Street 2:SUITE C
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-7123
Practice Address - Country:US
Practice Address - Phone:270-982-1200
Practice Address - Fax:270-234-1952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78905122Medicaid
KY00189Medicare PIN