EASTERN STATE HOSPITAL – NPI #1790816395
Psychiatric Hospital

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

Health Care Provider Taxonomy Code for Psychiatric Hospital

EASTERN STATE HOSPITAL is a psychiatric hospital located in LEXINGTON, KY. NPPES has assigned the NPI number 1790816395 to EASTERN STATE HOSPITAL on March 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EASTERN STATE HOSPITAL” is a dba name, the actual legal business name for this organization is COMMONWEALTH OF KENTUCKY. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 283Q00000X from the Health Care Provider Taxonomy code set, which is classified as Psychiatric Hospital.

The NPI profile was last updated on Aug 07, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EASTERN STATE HOSPITAL below.

NPI Profile for
COMMONWEALTH OF KENTUCKY

NPI Number
1790816395
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMONWEALTH OF KENTUCKY
Doing Business As (dba): EASTERN STATE HOSPITAL
Primary location
1350 BULL LEA RD
LEXINGTON, KY 40511-1247
Phone: (859) 246-8000 Fax: (859) 246-8043
Mailing address
Same as primary location
Organization Subpart
Yes - EASTERN STATE HOSPITAL is subpart of another organization.
Authorized Official
JENNIFER MOORE
ASSISTANT DIRECTOR
Phone: (502) 782-6117
Updated
Certification Date
Aug 07, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for EASTERN STATE HOSPITAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidKY02020030
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
283Q00000X
- Psychiatric Hospital (Primary)
3336I0012X
- Pharmacy / Institutional Pharmacy		 KY P06579

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.