| Three Rivers Medical Center | |
|
Highway 644 Louisa KY 41230 | |
| (606) 638-9451 | |
| Not Available |
| Full Name | Three Rivers Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | Highway 644, Louisa, Kentucky |
| Authorized Official Name and Position | Randy Michael Cooper (SVP FINANCE OP/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6152213840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Three Rivers Medical Center Po Box 60990 Saint Louis MO 63160-0990 Ph: () - | Three Rivers Medical Center Highway 644 Louisa KY 41230 Ph: (606) 638-9451 |
| NPI Number | 1356313407 |
|---|---|
| Provider Enumeration Date | 02/03/2006 |
| Last Update Date | 08/11/2020 |
| Certification Date | 08/11/2020 |
| Medicare PECOS PAC ID | 3173561123 |
|---|---|
| Medicare Enrollment ID | O20100910000433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356313407 | NPI | - | NPPES |
| 1027000 | Medicaid | WV | |
| 1022292 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 100282 (Kentucky) | Primary |
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