RUSSELL COUNTY HOSPITAL (NPI# 1295245025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295245025 |
| Entity Type | Organization |
| Organization Name | RUSSELL COUNTY HOSPITAL |
| Other Organization Name | PRIMARY CARE ASSOCIATES OF RUSSELL COUNTY |
| Practice Address |
92 Joe T Petty Dr Russell Springs KY 42642-8544 |
| Mailing Address |
Po Box 1610 Russell Springs KY 42642-1610 |
| Practice Telephone | 2708669359 |
| Mailing Telephone | 2708664141 |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | JANIE LANDIS (CFO) |
| Authorized Official Telephone | 2708664753 |
| Is Organization Subpart | Y |
| Parent Organization Name | RUSSELL COUNTY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100339990 | 05 |
| Other Name | Type Code |
|---|---|
| Primary Care Associates of Russell County | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902079023 | Russell County Hospital | Specialist | 92 Jt Pettey Drive, Russell Springs, KY 42642 | 2008-04-09 |
| 1013954437 | Russell County Hospital | General Acute Care Hospital | 153 Dowell Rd, Russell Springs, KY 42642-4579 | 2006-06-02 |
| 1902361165 | Russell County Hospital | Physician Assistant | 153 Dowell Rd, Russell Springs, KY 42642-4579 | 2019-02-01 |
| 1073936902 | Russell County Hospital | Clinic/Center | 124 Dowell Rd, Russell Springs, KY 42642-4278 | 2014-01-29 |
| 1679778377 | Russell County Hospital | Clinical Medical Laboratory | 92 Joe T Petty Dr, Suite 500, Russell Springs, KY 42642-8543 | 2007-06-20 |
| 1902963473 | Russell County Hospital | General Acute Care Hospital | 153 Dowell Rd, Russell Springs, KY 42642-4579 | 2007-01-03 |
| 1538255948 | Russell County Hospital | Emergency Medical Technician, Basic | 153 Dowell Rd, Russell Springs, KY 42642-4579 | 2006-10-04 |
| 1437245842 | Russell County Hospital | Nurse Anesthetist, Certified Registered | 153 Dowell Rd, Russell Springs, KY 42642-4579 | 2006-10-04 |
| Street Address |
92 JOE T PETTY DR |
| City | RUSSELL SPRINGS |
| State | KY |
| Zip Code | 42642-8544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215938733 | Columbia Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 92 Joe T Petty Dr, Suite 700, Russell Springs, KY 42642-8543 | 2005-08-09 |
| 1922315266 | Terani Robertson | Nurse Practitioner | 92 Joe T Petty Dr, Suite 400, Russell Springs, KY 42642-8544 | 2010-09-08 |
| 1508172701 | Cumberland Foot and Ankle Center | Podiatrist | 92 Joe T Petty Dr, Russell Springs, KY 42642-8544 | 2010-08-25 |
| 1679778377 | Russell County Hospital | Clinical Medical Laboratory | 92 Joe T Petty Dr, Suite 500, Russell Springs, KY 42642-8543 | 2007-06-20 |
| 1205987542 | Lily Creek Medical Group, Psc | Nurse Practitioner | 92 Joe T Petty Dr, Russell Springs, KY 42642-8543 | 2007-01-15 |
| 1417008756 | Robert L. Bertram | Internal Medicine | 92 Joe T Petty Dr, Russell Springs, KY 42642-8543 | 2007-01-15 |
| 1841348406 | Russell Springs Pharmacy | Durable Medical Equipment & Medical Supplies | 92 Joe T Petty Dr, Ste 100, Russell Springs, KY 42642-8544 | 2007-01-08 |
| 1477630879 | Commonwealth Urology Russell Springs | Urology | 92 Joe T Petty Dr, Russell Springs, KY 42642-8543 | 2006-11-01 |
| 1992718084 | Laker Drug Inc. | Durable Medical Equipment & Medical Supplies | 92 Joe T Petty Dr, Russell Springs, KY 42642-8543 | 2006-08-13 |
| 1700857414 | Miles Kenton Gibson | Family Medicine | 92 Joe T Petty Dr, Suite 300, Russell Springs, KY 42642-8543 | 2006-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730645490 | New Hope Counseling Services L.l.c | Psychologist | 330 Roy Drive, Russell Springs, KY 42642 | 2019-02-18 |
| 1629459912 | Ephraim Mcdowell Health Resources,inc | Physician Assistant | 92 Jt Petty Drive, Ste 300, Russell Springs, KY 42642 | 2015-06-12 |
| 1619397775 | Terri Susanne Jones Watkins Odpsc | Optometrist | 24 Caden Way, Suite 2, Russell Springs, KY 42642 | 2014-04-16 |
| 1548512247 | Charles Lenwood Gore | Pharmacist | 1372 Snow Rd, Russell Springs, KY 42642 | 2012-10-05 |
| 1407125016 | Avante Garde Health Centers, LLC | Clinic/Center | 72 Joe T Pettey Dr, Suite B, Russell Springs, KY 42642 | 2011-12-28 |
| 1821392515 | Southern Kentucky Medical Associates, Psc | Nurse Practitioner | 72 Joe T. Pettey Dr, Russell Springs, KY 42642 | 2011-01-10 |
| 1801106620 | Premiertox, Inc. | Clinical Medical Laboratory | 2431 Lakeway Drive, Suite A1, Russell Springs, KY 42642 | 2010-10-14 |
| 1639404593 | Rx Drug Monitoring Laboratory, LLC | Clinical Medical Laboratory | 660 Lakeway Drive, Suite A, Russell Springs, KY 42642 | 2009-10-11 |
| 1902079023 | Russell County Hospital | Specialist | 92 Jt Pettey Drive, Russell Springs, KY 42642 | 2008-04-09 |
| 1225242779 | Independent Speech Inc | Physical Therapist | 1831 Old Clear Springs Rd, Russell Springs, KY 42642 | 2007-05-10 |
| Find all providers in zip 42642 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831164789 | Adair County Hospital District | Clinic/Center | 2465 Lakeway Drive, Russell Springs, KY 42642-4510 | 2006-02-22 |
| 1821454349 | T J Health Columbia Inc | Clinic/Center | 542 Steve Dr, Russell Springs, KY 42642-4601 | 2016-01-13 |
| 1073936902 | Russell County Hospital | Clinic/Center | 124 Dowell Rd, Russell Springs, KY 42642-4278 | 2014-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072757 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 302 Walnut Street, Pineville, KY 40977 | 2020-10-28 |
| 1316553167 | Flaget Healthcare Inc | Clinic/Center | 2387 Main St, Willisburg, KY 40078-8102 | 2020-09-17 |
| 1710590880 | Flaget Healthcare, Inc | Clinic/Center | 4359 Shepherdsville Road, Ste 255, Bardstown, KY 40004 | 2020-08-28 |
| 1649881335 | Emerald Therapy Center, LLC | Clinic/Center | 111 Poplar St, Murray, KY 42071-2571 | 2020-08-14 |
| 1407472319 | Family Health Care Associates 7 Limited Liability Company | Clinic/Center | 422 N Highway 27, Whitley City, KY 42653 | 2020-06-17 |
| 1154950699 | Family Health Care Associates 6 Limited Liability Company | Clinic/Center | 8070 Us Highway 60 W, Lewisport, KY 42351-7087 | 2020-04-06 |
| 1568098838 | Appalachian Regional Healthcare, Inc | Clinic/Center | 186 Breanna Blvd, Suite 100, Salyersville, KY 41465-7525 | 2020-03-19 |
| 1780217794 | Family Health Care Associates 5 Limited Liability Company | Clinic/Center | 74 H&b Partin Lane, Pineville, KY 40977 | 2020-02-18 |
| 1023649514 | Memorial Hospital Inc | Clinic/Center | 485 Memorial Dr Ste 1, Manchester, KY 40962-9111 | 2020-02-03 |
| 1265072946 | Baptist Health Medical Group Inc | Clinic/Center | 800 Hospital Dr Fl 2, Madisonville, KY 42431-1658 | 2020-01-10 |
| Find all providers with the same taxonomy | ||||
| City | RUSSELL SPRINGS |
| Zip Code | 42642 |
Please comment or provide details below to improve the information on RUSSELL COUNTY HOSPITAL.
| 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.