KENTUCKY EASTER SEAL SOCIETY INC
Long Term Care Hospital
Fort Thomas, Kentucky
Provider NPI: 1841374667
Organization Information:Organization Name: KENTUCKY EASTER SEAL SOCIETY INC
Practice Location:
85 N GRAND AVENUE ST LUKE HOSPITAL EAST FORT THOMAS, KY 41075 US
Tel: 859-572-3880 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
85 N GRAND AVENUE ST LUKE HOSPITAL EAST FORT THOMAS, KY 41075 US
Tel: 859-572-3880 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 282E00000X | Hospitals Long Term Care Hospital |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
2506069 | OH | 05 | |
01000306 | KY | 05 | |
50008447 | KY | 05 | |
ANTHEM | 000000327149 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin