Barren River Regional Cancer Center, Inc.
Organization Active NPI Radiation Therapy Radiologic Technologist · Glasgow, KY
NPI 1700860319 · NPPES record last updated Jun 6, 2026
Key facts
- NPI
- 1700860319
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiation Therapy Radiologic Technologist 2471R0002X
- License
- 730074 (KY)
- Legal business name
- BARREN RIVER REGIONAL CANCER CENTER, INC.
- Practice address
- 103 Trista LN
Glasgow, KY 42141-3482 - Phone
- (270) 651-2478
- Fax
- (270) 651-9264
- NPI assigned
- Dec 6, 2005
- Organization subpart
- No
Authorized official
- Name
- Connie D. Smith
- Title
- President & Ceo
- Phone
- (270) 745-1262
Member of 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041105000573 | KY | Part B Supplier - Radiation Therapy Center | 0749243251 | Practice locations: Glasgow, KY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Therapy Radiologic Technologist |
2471R0002X | 730074 | KY | Yes |
Addresses
Primary practice location
103 Trista LN
Glasgow, KY 42141-3482
Mailing address
PO Box 117916
Atlanta, GA 30368-7916
Phone (270) 745-1467
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86000304 | Medicaid | KY |
Other providers in Glasgow, KY
- Angela C Barlow
- Barren County Board of Education
- Barren County Health Care Center
- Barren River Chiropractic, PLLC
- Barren River District Health Department
- Bailey Brooke Bartley
- Chelsea Bartley
- Beauty and the Behavior, LLC
- Beauty and the Behavior, LLC
- Jai Behgal
All providers in Glasgow, KY · Radiation Therapy Radiologic Technologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.