| Eastern State Hospital | |
|
1350 Bull Lea Rd Lexington KY 40511-1247 | |
| (859) 246-8000 | |
| (859) 246-8043 |
| Full Name | Eastern State Hospital |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1350 Bull Lea Rd, Lexington, Kentucky |
| Authorized Official Name and Position | Jennifer Moore (ASSISTANT DIRECTOR) |
| Authorized Official Contact | 5027826117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern State Hospital 1350 Bull Lea Rd Lexington KY 40511-1247 Ph: (859) 246-8000 | Eastern State Hospital 1350 Bull Lea Rd Lexington KY 40511-1247 Ph: (859) 246-8000 |
| NPI Number | 1750552857 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 10/30/2024 |
| Certification Date | 10/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750552857 | NPI | - | NPPES |
| 7100105800 | Medicaid | KY |
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