CRITTENDEN COMMUNITY HOSPITAL LLC (NPI# 1275097339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275097339 |
| Entity Type | Organization |
| Organization Name | CRITTENDEN COMMUNITY HOSPITAL LLC |
| Other Organization Name | CRITTENDEN COMMUNITY HOSPITAL |
| Practice Address |
520 W Gum St Marion KY 42064-1516 |
| Practice Telephone | 2709651042 |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2020-03-31 |
| Authorized Official Name | DARREL MORRIS (COO) |
| Authorized Official Telephone | 9185271234 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Crittenden Community Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1316411655 | Crittenden Community Hospital LLC | Clinic/Center | 117 E Main St, Salem, KY 42078-9998 | 2019-01-21 |
| 1053885392 | Crittenden Community Hospital LLC | General Acute Care Hospital | 520 W Gum St, Marion, KY 42064-1516 | 2019-01-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CRITTENDEN COMMUNITY HOSPITAL LLC | 520 W Gum St, Marion, KY 42064-1516 |
| Street Address |
520 W GUM ST |
| City | MARION |
| State | KY |
| Zip Code | 42064-1516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376536870 | Robert Joseph Jones | Physician Assistant | 520 W Gum St, Marion, KY 42064-1516 | 2005-08-30 |
| 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 |
| 1033380613 | Crittenden County Hospital | Physician Assistant | 520 W Gum St, Marion, KY 42064-1516 | 2008-03-21 |
| 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 | ||||
| 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 Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528581063 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 1583 N Main St Ste A, Marion, VA 24354-4317 | 2017-07-17 |
| 1336403419 | William E Kettelkamp | Emergency Medicine | 2760 E Robins Rd, Marion, IA 52302-9525 | 2012-07-03 |
| 1235422403 | Incare Health Solutions LLC | Emergency Medicine | 175 Edgefield Blvd, Marion, OH 43302-7821 | 2011-05-22 |
| 1376852673 | Appalachian Emergency Physicians | Emergency Medicine | 245 Medical Park Drive, Marion, VA 24354-6587 | 2010-10-04 |
| 1578880647 | Teresa Fullen | Emergency Medicine | 216 Hospital Ave, Marion, VA 24354-3157 | 2010-04-28 |
| 1013247568 | Marion Physician Billing LLC | Emergency Medicine | 1000 Mckinley Park Drive, Marion, OH 43302-6399 | 2010-01-06 |
| 1932345725 | John Hess | Emergency Medicine | 3269 Stone Ct, Marion, IA 52302-9433 | 2008-12-28 |
| 1811156458 | Thomas G Rousseau Md Pllc | Emergency Medicine | 110 Country Club Dr, Marion, KY 42064-1873 | 2008-06-09 |
| 1477693364 | Michael Jarosick | Emergency Medicine | 130 University Dr Ste 1300, Marion, OH 43302-1104 | 2007-02-08 |
| 1760410021 | Wroten Mcquirter | Emergency Medicine | 902 N Logan St, Apt. 3, Marion, IL 62959-3091 | 2006-06-28 |
| Find all providers in MARION | ||||
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| 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.