GRAYSON COUNTY HOSPITAL FOUNDATION INC


Address: 910 Wallace Ave, Leitchfield, KY 42754-1418
Phone: 2702599400

GRAYSON COUNTY HOSPITAL FOUNDATION INC (NPI# 1114929494) 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) 1114929494
Entity Type Organization
Organization Name GRAYSON COUNTY HOSPITAL FOUNDATION INC
Other Organization Name TWIN LAKES REGIONAL MEDICAL CENTER
Practice Address 910 Wallace Ave
Leitchfield
KY 42754-1418
Practice Telephone 2702599400
Practice Fax Number 2702599524
Mailing Telephone 2702599400
Enumeration Date 2005-06-01
Last Update Date 2019-02-19
Authorized Official Name CYNTHIA R BAILEY (REIMBURSEMENT ANALYST)
Authorized Official Telephone 2702591656
Is Organization Subpart Y
Parent Organization Name GRAYSON COUNTY HOSPITAL FOUNDATION

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2355S0801X Specialist/Technologist
Specialization: Speech-Language Assistant
Speech, Language and Hearing Service Providers
N 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers
Y 282N00000X General Acute Care Hospital 100151 KY Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
KY 4500270600 05
KY ANTHEM PROVIDER # 000000054565 01
KY 01006733 05
KY PASSPORT 1048799 01
KY PASSPORT ADVANTAGE 2432221000 01
KY 4588851800 05

Other Provider/Organization Names

Other Name Type Code
TWIN LAKES REGIONAL MEDICAL CENTER Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1104454834 Grayson County Hospital Foundation Inc Obstetrics & Gynecology 910 Wallace Ave, Leitchfield, KY 42754-2414 2020-03-30
1164054664 Grayson County Hospital Foundation Inc Clinic/Center 301 Sunset Dr, Caneyville, KY 42721-9172 2020-02-12
1487767828 Grayson County Hospital Foundation Inc Clinical Medical Laboratory 910 Wallace Ave, Leitchfield, KY 42754-2414 2006-08-17
1023010303 Grayson County Hospital Foundation Inc Medicare Defined Swing Bed Unit 910 Wallace Ave, Leitchfield, KY 42754-1418 2005-06-01
1437152923 Grayson County Hospital Foundation Inc Emergency Medicine 910 Wallace Ave, Leitchfield, KY 42754-1418 2005-05-27

Office Location

Street Address 910 WALLACE AVE
City LEITCHFIELD
State KY
Zip Code 42754-1418

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538162268 Joseph C Petrocelli Surgery 910 Wallace Ave, Leitchfield, KY 42754-2414 2005-05-27
1992306450 Karen Michelle Manning Nurse Practitioner 910 Wallace Ave, Leitchfield, KY 42754-2414 2020-11-02
1104454834 Grayson County Hospital Foundation Inc Obstetrics & Gynecology 910 Wallace Ave, Leitchfield, KY 42754-2414 2020-03-30
1649743667 Concord Company of Tennessee Pllc Physician Assistant 910 Wallace Ave, Leitchfield, KY 42754-2414 2019-01-03
1891267290 Kristen Russell Nurse Practitioner 910 Wallace Ave, Leitchfield, KY 42754 2018-12-23
1265900955 Callie J Hancock Nurse Anesthetist, Certified Registered 910 Wallace Ave, Leitchfield, KY 42754-2414 2018-11-12
1568941987 Robert Wayne Fuller Physical Therapist 910 Wallace Ave, Leitchfield, KY 42754-2414 2018-08-07
1114442324 Jared Crocker Nurse Anesthetist, Certified Registered 910 Wallace Ave, Leitchfield, KY 42754-2414 2017-08-08
1518332691 Eric Powell Physical Therapist 910 Wallace Ave, Leitchfield, KY 42754-2414 2015-12-01
1427434026 Robert Holland Nurse Anesthetist, Certified Registered 910 Wallace Ave, Leitchfield, KY 42754 2015-08-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750816849 April Braun Occupational Therapy Assistant 121 Byrtle Grove Rd, Leitchfield, KY 42754 2017-04-26
1124429766 Scott Anthony Gibson Counselor 805 Commerce Dr, Leitchfield, KY 42754 2014-09-15
1013328137 Sandra M Dennis Counselor 505 O Riley St, Leitchfield, KY 42754 2014-05-12
1699071258 Ellen Renae Pharis Massage Therapist 205 Fraim St, Leitchfield, KY 42754 2011-01-31
1184664096 Joseph Michael Harris Jr. Physical Therapist 201 South Main Street, Leitchfield, KY 42754 2006-06-08
1689611469 Joseph Michael Mulligan Nurse Anesthetist, Certified Registered 515 Lake Front Rd., Leitchfield, KY 42754 2006-06-01
1407838030 Lincoln Trail District Health Dept Public Health or Welfare 124 E White Oak St, Leitchfield, KY 42754 2005-11-18
1487646527 Larry Brett Abney Optometrist 31 Bobby Bland Way, Leitchfield, KY 42754 2005-08-16
1336142025 Ted B Rogers Orthopaedic Surgery 908 Wallace Ave, Leitchfield, KY 42754 2005-05-27
1912486887 Jeanette Marie Jacobs Pediatrics 901 Wallace Ave, Leitchfield, KY 42754 2018-08-10
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Taxonomy Information

Taxonomy Code 282N00000X
Grouping Hospitals
Classification General Acute Care Hospital

Taxonomy Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629433693 Jewish Hospital and St. Mary's Healthcare, Inc. General Acute Care Hospital 3290 Dutchmans Lane, Louisville, KY 40207 2015-12-17
1295100113 Jeffrey Joseph Curley General Acute Care Hospital 100 Academic Pkwy, Kcu Box 778, Grayson, KY 41143-2205 2015-12-03
1316296676 St. Elizabeth Health Care General Acute Care Hospital 236 Wendel H Ford Blvd, Erlanger, KY 41018-1272 2012-09-02
1952623944 Basem Attum General Acute Care Hospital 6315 Innisbrook Dr, Prospect, KY 40059-9285 2010-02-18
1376877555 University of Kentucky Department of Radiology General Acute Care Hospital 740 S Limestone St Rm A125, Lexington, KY 40536-0001 2009-09-22
1073763801 Jacalyn Vannessa Davis General Acute Care Hospital 709 E Madison St, Louisville, KY 40202-1629 2008-09-29
1972751469 Mesa Medical Group General Acute Care Hospital 660 Irvin Rd, Danville, KY 40422-8897 2008-09-09
1821261967 Ardenia Sanders-cleary General Acute Care Hospital 6880 Kentucky 3520, West Paducah, KY 42086-9531 2008-04-09
1427243880 Bluegrass Speech Pathology,pllc General Acute Care Hospital 862 Cassidy Pike, Ewing, KY 41039 2007-09-10
1457553042 Pattie A Clay Regional Medical Center General Acute Care Hospital 801 Eastern By-pass, Pharmacy Department, Richmond, KY 40475 2007-06-05
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Competitor

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City LEITCHFIELD
Zip Code 42754

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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