| Four Rivers Behavioral Health | |
|
425 Broadway St Suite 201 Paducah KY 42001-0713 | |
| (270) 442-7121 | |
| (270) 443-9692 |
| Full Name | Four Rivers Behavioral Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 425 Broadway St, Paducah, Kentucky |
| Authorized Official Name and Position | Allison Ogden (CEO) |
| Authorized Official Contact | 2704427121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Rivers Behavioral Health 425 Broadway St Suite 201 Paducah KY 42001-0713 Ph: (270) 442-7121 | Four Rivers Behavioral Health 425 Broadway St Suite 201 Paducah KY 42001-0713 Ph: (270) 442-7121 |
| NPI Number | 1902082852 |
|---|---|
| Provider Enumeration Date | 01/10/2008 |
| Last Update Date | 04/06/2023 |
| Certification Date | 04/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902082852 | NPI | - | NPPES |
| 28001014 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 810061 (Kentucky) | Primary |
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