| Western State Nursing Facility | |
|
2400 Russellville Rd Us 68 East Hopkinsville KY 42241 | |
| (502) 886-4431 | |
| (270) 886-4487 |
| Full Name | Western State Nursing Facility |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2400 Russellville Rd, Hopkinsville, Kentucky |
| Authorized Official Name and Position | Jennifer Moore (ASSISTANT DIRECTOR) |
| Authorized Official Contact | 5027826117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western State Nursing Facility Po Box 2200 2400 Russellville Road, Us 68 East Hopkinsville KY 42241 Ph: (502) 886-4431 | Western State Nursing Facility 2400 Russellville Rd Us 68 East Hopkinsville KY 42241 Ph: (502) 886-4431 |
| NPI Number | 1134124167 |
|---|---|
| Provider Enumeration Date | 06/16/2005 |
| Last Update Date | 08/07/2024 |
| Certification Date | 08/07/2024 |
| Medicare PECOS PAC ID | 9436122710 |
|---|---|
| Medicare Enrollment ID | O20120314000794 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134124167 | NPI | - | NPPES |
| 12400024 | Medicaid | KY |
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