CRITTENDEN COUNTY HOSPITAL


Address: 520 W Gum St, Marion, KY 42064-1516
Phone: 2709651042

CRITTENDEN COUNTY HOSPITAL (NPI# 1033380613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033380613
Entity Type Organization
Organization Name CRITTENDEN COUNTY HOSPITAL
Other Organization Name CRITTENDEN HEALTH SYSTEMS
Practice Address 520 W Gum St
Marion
KY 42064-1516
Practice Telephone 2709651042
Practice Fax Number 2709651042
Mailing Telephone 2709651042
Mailing Fax Number 2709651042
Enumeration Date 2008-03-21
Last Update Date 2012-03-06
Authorized Official Name MR. THOMAS M HALES (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 2709651042
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA385 KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY MEDICARE GROUP NUMBER 0102 01
KY 95900908 05

Other Provider/Organization Names

Other Name Type Code
CRITTENDEN HEALTH SYSTEMS Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1841462223 Crittenden County Hospital Home Health 520 West Gum St, Marion, KY 42064-0386 2008-03-26
1801069588 Crittenden County Hospital Podiatrist 520 West Gum St, Marion, KY 42064-0386 2008-04-02
1417071291 Crittenden County Hospital Home Health 520 W Gum St, Marion, KY 42064-0386 2007-03-19
1831213651 Crittenden County Hospital Medicare Defined Swing Bed Unit 520 W Gum St, Marion, KY 42064-1516 2007-03-19
1679516025 Crittenden County Hospital Nurse Anesthetist, Certified Registered 520 W Gum St, Marion, KY 42064-1516 2006-06-14
1265481022 Crittenden County Hospital Clinic/Center 117 E Main St, Salem, KY 42078 2006-05-09
1245209790 Crittenden County Hospital General Acute Care Hospital 520 W Gum St, Marion, KY 42064 2006-03-16
1851376958 Crittenden County Hospital Ambulance 520 W Gum St, Marion, KY 42064-1516 2005-12-12

Office Location

Street Address 520 W GUM ST
City MARION
State KY
Zip Code 42064-1516

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376536870 Robert Joseph Jones Physician Assistant 520 W Gum St, Marion, KY 42064-1516 2005-08-30
1275097339 Crittenden Community Hospital LLC Internal Medicine 520 W Gum St, Marion, KY 42064-1516 2019-01-23
1184188245 Crittenden Community Hospital LLC Home Health 520 W Gum St, Marion, KY 42064-1516 2019-01-23
1902360175 Crittenden Community Hospital LLC Medicare Defined Swing Bed Unit 520 W Gum St, Marion, KY 42064-1516 2019-01-22
1053885392 Crittenden Community Hospital LLC General Acute Care Hospital 520 W Gum St, Marion, KY 42064-1516 2019-01-21
1386132165 Com-care, Inc Ambulance 520 W Gum St, Marion, KY 42064-1516 2018-04-26
1457731770 Lorie Rashelle Wydotis Registered Nurse 520 W Gum St, Marion, KY 42064-1516 2015-06-02
1679871677 Crittenden Health Systems General Acute Care Hospital 520 W Gum St, Marion, KY 42064-1516 2011-03-01
1417071291 Crittenden County Hospital Home Health 520 W Gum St, Marion, KY 42064-0386 2007-03-19
1831213651 Crittenden County Hospital Medicare Defined Swing Bed Unit 520 W Gum St, Marion, KY 42064-1516 2007-03-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154840924 Tashena Elizabeth Hill Pharmacist 520 West Gum St., Marion, KY 42064 2017-09-13
1629318365 Christopher Scott Wynn Chiropractor 107 Morningside Dr Ste 4, Marion, KY 42064 2013-02-17
1184747636 John Jason Newcom Chiropractor 913 South Main Street, Marion, KY 42064 2007-04-09
1578684247 Melissa Gayle Myers Case Manager/Care Coordinator 6654 State Road 1668, Marion, KY 42064 2007-04-02
1629195185 Pennyrile District Health Department Public Health or Welfare 190 Industrial Dr., Marion, KY 42064 2007-03-22
1285747915 Steve Evert Crider Dentist 913 B South Main Street, Marion, KY 42064 2006-08-16
1194726752 Starkey Family Practice Chiropractor 789 Chapel Hill Road, Marion, KY 42064 2005-08-04
1659601755 Graves County Health Department Public Health or Welfare 416 Central Avenue, Mayfield, KY 42064 2010-01-12
1841462223 Crittenden County Hospital Home Health 520 West Gum St, Marion, KY 42064-0386 2008-03-26
1801069588 Crittenden County Hospital Podiatrist 520 West Gum St, Marion, KY 42064-0386 2008-04-02
Find all providers in zip 42064

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285704585 Keith Charles Damico Physician Assistant 5235 Nc 226 S, Marion, NC 28752-8733 2006-11-08
1578178679 Amelia Kate Stigall Physician Assistant 1301 E Deyoung St, Marion, IL 62959-3846 2020-09-15
1689223208 Emily Jane Bodfish Physician Assistant 1204 N Main St, Marion, VA 24354-4312 2019-09-06
1306343512 Cody Jordan Harris Physician Assistant 970 S Prospect St, Marion, OH 43302-6225 2018-04-12
1174989800 Andrew Michael Bandsuh Physician Assistant 1000 Mckinley Park Dr, Marion, OH 43302-6399 2016-01-11
1295108363 Julia Petraitis Physician Assistant 1728 Marion Waldo Rd, Marion, OH 43302-7457 2015-11-11
1396146460 Cameron M Ratcliff Physician Assistant 1616 N Main St, Ste 100a, Marion, VA 24354-4473 2014-09-09
1447593694 Harry William Howe Physician Assistant 1583 N Main St, Marion, VA 24354-4317 2013-04-05
1295088748 Zed Alex Mansfield Physician Assistant 2293 Sugar Hill Rd Ste D, Marion, NC 28752-7787 2012-10-22
1003079328 Karen Pauley Physician Assistant 402 S State St, Marion, OH 43302-5000 2008-07-07
Find all providers in MARION

Competitor

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City MARION
Zip Code 42064

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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