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Creekwood Place Nursing & Rehab Center, Inc.

Skilled Nursing Facility in Russellville, KY · enumerated 2006 · authorized official David Rodman, Asst Secretary.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619982410

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Registry record

Entity type Organization (Type 2)
Legal business name Creekwood Place Nursing & Rehab Center, Inc.
Practice address 107 Boyles Dr, Russellville, KY, 42276
Phone (270) 726-9049
Fax (270) 726-8706
Enumeration date Jul 30, 2006
Last updated in NPPES Dec 30, 2015

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 100299 (KY) Primary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 90003948 (KY) Secondary

Authorized official

Name David Rodman
Title Asst Secretary
Phone (407) 975-3011

Other identifiers

Identifier Type State Issuer
7100025410 Medicaid KY -
90003948 Medicaid KY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Creekwood Place Nursing & Rehab Center, Inc. located?
The practice location on file with NPPES is in Russellville, KY.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-12-30. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-12-30.