Eastern State Hospital

LBN: Commonwealth Of Kentucky
Eastern State Hospital is an health care organization with primary practice located at 1350 Bull Lea Rd , Lexington KY 40511-1247. The organization recently has 2 registered licenses in different health care specialties including Hospitals / Psychiatric Hospital, Suppliers / Institutional Pharmacy. Hospitals / Psychiatric Hospital is the primary health care specialty. Commonwealth Of Kentucky can be contacted via phone (859) 246-8000, or through Craycraft, Stephanie via phone (502) 782-6243.

Contact Information

Primary practice address
1350 Bull Lea Rd Lexington KY 40511-1247
Phone: (859) 246-8000
Fax: (859) 246-8043
Website:
Map and Directions
Authorized official contact:
Name: Craycraft, Stephanie
Phone: (502) 782-6243

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X
Hospitals / Psychiatric Hospital 283Q00000X Kentucky
Suppliers / Institutional Pharmacy 3336I0012X P06579 Kentucky

Profile Details

NPI number 1790816395
LBN Legal business name Commonwealth Of Kentucky
DBA Doing business as Eastern State Hospital
Authorized official Craycraft, Stephanie
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 8th, 2007
Last updated Jul 7th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790816395 NPPES
Kentucky MEDICAID 02020030

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