Clark Regional Medical Center, Inc

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

100073 Issued in KY

Legal business name

CLARK REGIONAL MEDICAL CENTER, INC

Practice address

1107 W Lexington Ave
Winchester, KY 40391-1169

Phone

(859) 745-3500

Fax

(859) 745-3450

NPI assigned

Jul 9, 2006

Last updated

May 20, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robert D Fraraccio

Title

Chief Executive Officer

Phone

(859) 745-3500

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1306879614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 W LEXINGTON AVE",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911169",
            "telephone_number": "859-745-3500",
            "fax_number": "859-745-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 W LEXINGTON AVE",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911169",
            "telephone_number": "859-745-3500",
            "fax_number": "859-745-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK REGIONAL MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "FRARACCIO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "859-745-3500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "KY",
            "license": "100073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "032043100",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000054543",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01007335",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clark Medical Ventures, LLC (Clark Family Care)
• Clark Pharmacists Group PLLC (Clark County Pharmacy)
• Clark Radiology, PLLC
• Clark Regional Medical Center
• Clark Regional Medical Center, Inc
• Clark Regional Medical Center, Inc (Clark Immediate Care Center Rehabilitation)
• Clark Regional Medical Center, Inc
• Clark Regional Medical Center, Inc.
• Clark Regional Physician Practices LLC (Winchester General Surgery)
• Clark Regional Physician Practices LLC (Clark Regional Family Practice)

• General Acute Care Hospital in Winchester, KY
• Providers in Winchester, KY by specialty
• General Acute Care Hospital in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.