1300 Campbell Lane Operating Company LLC
Organization Active NPI Rehabilitation Hospital · Bowling Green, KY
NPI 1295789295 · NPPES record last updated Sep 6, 2023
Key facts
- NPI
- 1295789295
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital 283X00000X
- License
- 100655 (KY)
- Legal business name
- 1300 CAMPBELL LANE OPERATING COMPANY LLC
- Practice address
- 1300 Campbell LN
Bowling Green, KY 42104-4162 - Phone
- (270) 782-6900
- Fax
- (270) 782-7228
- NPI assigned
- May 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Brad Eugene Hollinger
- Title
- President
- Phone
- (717) 591-5700
Practitioners 2
-
James Robert Farrage Jr., M.D.
-
James Peter Little, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | 100655 | KY | Yes |
Addresses
Primary practice location
1300 Campbell LN
Bowling Green, KY 42104-4162
Mailing address
PO Box 26657
Fresno, CA 93729-6657
Phone (559) 892-2500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000273851 | Other | KY | BLUE CROSS BLUE SHIELD |
| 01000272 | Medicaid | KY |
Other names
- Southern Kentucky Rehabilitation Hospital
Other providers in Bowling Green, KY
- 100 Chiro Stewart, PLLC
- 1St Mobility LLC
- 24/7 Just Nemt
- 4MD2 Physician Services of Bowling Green LLC
- 65 Consulting LLC
- A Mother'S Village, LLC
All providers in Bowling Green, KY · Rehabilitation Hospital in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.