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Application for License to Operate a Hospital - Kentucky

Application for License to Operate a Hospital - Kentucky 2025

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The document is an application form for obtaining a license to operate a hospital, detailing various types of applications such as provisional licensure and changes in ownership or location. It requires identification information about the facility, ownership details, and the type of hospital being applied for, including bed types and numbers. The application must be completed accurately and submitted with supporting documentation to the Office of Inspector General, along with applicable fees.

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Click ‘Get Form’ to open the Application for License to Operate a Hospital in the editor.
Begin by selecting the type of application you are submitting. Mark an X next to all applicable options such as Provisional Licensure or Change of Ownership.
In the Identification section, fill in your facility's name, physical location, and mailing address if different. Ensure that you provide accurate contact information including telephone number and email address.
Complete the Control section by indicating the state, county, city, and whether it is private. Then specify if your facility is profit or nonprofit and its ownership structure.
For the Ownership section, list the name and address of the direct owner. Attach any required supporting documentation as specified.
Indicate the type of license you are applying for in Section V. Mark an X next to each type of bed relevant to your application and provide current and requested numbers.
Finally, review all sections for completeness before signing at the bottom. Ensure that all necessary attachments are included before submission.

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2017	4.8 Satisfied (94 Votes)

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How much does a Kentucky medical license cost?

1. State-by-state breakdown of initial application fees StateFee Kansas $300 Kentucky $300 Louisiana $382 Massachusetts $60060 more rows May 9, 2025

How long does a Kentucky medical license take?

How long is the application process? The applicaiton process is approximately 60-90 days for all licenses offered by the Board, including the temporary permit.