1300 Campbell Lane Operating Company LLC
Rehabilitation Hospital in Bowling Green, KY. Organization (NPI-2).
NPI number1295789295
StatusActive
Last updated in NPPESSep 6, 2023
Details
- NPI
- 1295789295
- Entity type
- Organization (NPI-2)
- Legal business name
- 1300 Campbell Lane Operating Company LLC
- Organization subpart
- No
- Enumeration date
- May 22, 2006
- Last updated
- Sep 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 283X00000X | Rehabilitation Hospital | 100655 | KY | Yes |
Other names
- Southern Kentucky Rehabilitation Hospital (Doing Business As)
Practice location
1300 Campbell LnBowling Green, KY 42104-4162
Phone 270-782-6900 · Fax 270-782-7228
Mailing address
Po Box 26657Fresno, CA 93729-6657
Phone 559-892-2500 · Fax 559-892-2444
Authorized official
Brad Eugene Hollinger
President
7175915700
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