GRAYSON COUNTY HOSPITAL FOUNDATION INC (NPI# 1164054664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164054664 |
| Entity Type | Organization |
| Organization Name | GRAYSON COUNTY HOSPITAL FOUNDATION INC |
| Practice Address |
301 Sunset Dr Caneyville KY 42721-9172 |
| Mailing Address |
910 Wallace Ave Leitchfield KY 42754-2414 |
| Practice Telephone | 2708793711 |
| Practice Fax Number | 2708798674 |
| Mailing Telephone | 2702599400 |
| Mailing Fax Number | 2702599536 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |
| Authorized Official Name | CYNTHIA R BAILEY (REIMBURSEMENT ANALYST) |
| Authorized Official Telephone | 2702599400 |
| Is Organization Subpart | Y |
| Parent Organization Name | GRAYSON COUNTY HOSPITAL FOUNDATION INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Twin Lakes Rural Health Clinic at Caneyville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454834 | Grayson County Hospital Foundation Inc | Obstetrics & Gynecology | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2020-03-30 |
| 1487767828 | Grayson County Hospital Foundation Inc | Clinical Medical Laboratory | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2006-08-17 |
| 1114929494 | Grayson County Hospital Foundation Inc | Specialist/Technologist | 910 Wallace Ave, Leitchfield, KY 42754-1418 | 2005-06-01 |
| 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 |
| Street Address |
301 SUNSET DR |
| City | CANEYVILLE |
| State | KY |
| Zip Code | 42721-9172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253786 | Robert E Mcclure | Family Medicine | 301 Sunset Dr, Caneyville, KY 42721 | 2005-05-31 |
| 1720164825 | Twin Lakes Medical Foundation, Inc. | Nurse Practitioner | 301 Sunset Dr, Caneyville, KY 42721-9172 | 2006-10-31 |
| 1205895943 | Gregory Thomas Koo | Specialist | 301 Sunset Dr, Caneyville, KY 42721-9172 | 2006-03-21 |
| 1104822360 | Todd E Bullock | Nurse Practitioner | 301 Sunset Dr, Caneyville, KY 42721-9172 | 2005-06-22 |
| 1013910504 | Twin Lakes Medical Foundation, Inc. | General Practice | 301 Sunset Dr, Caneyville, KY 42721-9172 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477627057 | Mike J Utley | Dentist | 528 East Maple Street, Caneyville, KY 42721 | 2006-11-17 |
| 1467439083 | Midway Pharmacy of Clarkson, Inc | Durable Medical Equipment & Medical Supplies | 408 East Maple Street, Caneyville, KY 42721 | 2005-12-23 |
| 1770906513 | Shelly Geary | Nurse Practitioner | 4162 Falls of Rough Rd, Caneyville, KY 42721-9037 | 2014-01-30 |
| 1144769274 | Martha Gary | Behavior Technician | 527 E Maple St, Caneyville, KY 42721-9060 | 2017-02-22 |
| 1144207432 | Embry Welding Supply Inc | Durable Medical Equipment & Medical Supplies | 10 Industrial Dr, Caneyville, KY 42721-9176 | 2005-12-28 |
| 1174708705 | Embry Medical Supply | Durable Medical Equipment & Medical Supplies | 10 Industrial Dr, Caneyville, KY 42721-9176 | 2008-01-02 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1023649514 | Memorial Hospital Inc | Clinic/Center | 485 Memorial Dr Ste 1, Manchester, KY 40962-9111 | 2020-02-03 |
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| Find all providers with the same taxonomy | ||||
| City | CANEYVILLE |
| Zip Code | 42721 |
Please comment or provide details below to improve the information on GRAYSON COUNTY HOSPITAL FOUNDATION INC.
| 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.