Provider Demographics
NPI:1952444762
Name:ROCKCASTLE REGIONAL HOSPITAL
Entity type:Organization
Organization Name:ROCKCASTLE REGIONAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:CATINA
Authorized Official - Middle Name:C
Authorized Official - Last Name:HASTY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:606-256-7738
Mailing Address - Street 1:145 NEWCOMB AVE
Mailing Address - Street 2:
Mailing Address - City:MT VERNON
Mailing Address - State:KY
Mailing Address - Zip Code:40456
Mailing Address - Country:US
Mailing Address - Phone:606-256-2195
Mailing Address - Fax:606-256-7742
Practice Address - Street 1:145 NEWCOMB AVE
Practice Address - Street 2:
Practice Address - City:MT VERNON
Practice Address - State:KY
Practice Address - Zip Code:40456
Practice Address - Country:US
Practice Address - Phone:606-256-2195
Practice Address - Fax:606-256-7742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPO5191282N00000X
314000000X, 3336L0003X
KY8703314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No282N00000XHospitalsGeneral Acute Care Hospital
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY54027149Medicaid
KY5402714900Medicaid