| Owensboro Health Twin Lakes Medical Center Geriatric Psychiatric Unit | |
|
910 Wallace Ave Leitchfield KY 42754-2414 | |
| (270) 259-9400 | |
| Not Available |
| Full Name | Owensboro Health Twin Lakes Medical Center Geriatric Psychiatric Unit |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 910 Wallace Ave, Leitchfield, Kentucky |
| Authorized Official Name and Position | Russ Ranallo (CFO) |
| Authorized Official Contact | 2706857180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Owensboro Health Twin Lakes Medical Center Geriatric Psychiatric Unit Po Box 20007 Owensboro KY 42304-0007 Ph: () - | Owensboro Health Twin Lakes Medical Center Geriatric Psychiatric Unit 910 Wallace Ave Leitchfield KY 42754-2414 Ph: (270) 259-9400 |
| NPI Number | 1114638384 |
|---|---|
| Provider Enumeration Date | 12/08/2022 |
| Last Update Date | 11/03/2023 |
| Certification Date | 11/03/2023 |
| Medicare PECOS PAC ID | 3779996558 |
|---|---|
| Medicare Enrollment ID | O20230221002037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114638384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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