CRITTENDEN COMMUNITY HOSPITAL LLC (NPI# 1316411655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316411655 |
| Entity Type | Organization |
| Organization Name | CRITTENDEN COMMUNITY HOSPITAL LLC |
| Other Organization Name | BURKHART RURAL HEALTH CLINIC |
| Practice Address |
117 E Main St Salem KY 42078-9998 |
| Mailing Address |
520 W Gum St Marion KY 42064-1516 |
| Practice Telephone | 2709883839 |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2019-04-01 |
| Authorized Official Name | DARREL MORRIS (COO) |
| Authorized Official Telephone | 9185271234 |
| Is Organization Subpart | N |
| 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 |
|---|---|
| Burkhart Rural Health Clinic | Doing Business As Name - Organization |
| Crittenden Community Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
117 E MAIN ST |
| City | SALEM |
| State | KY |
| Zip Code | 42078-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417564485 | Kaitlin Loveless | Nurse Practitioner | 117 E Main St, Salem, KY 42078-9998 | 2020-09-24 |
| 1326691486 | Livingston Hospital and Healthcare Services, Inc. | Clinic/Center | 117 E Main St, Salem, KY 42078-9998 | 2019-07-18 |
| 1033169974 | Stephen B Burkhart | Family Medicine | 117 E Main St, Salem, KY 42078-9998 | 2006-05-11 |
| 1265481022 | Crittenden County Hospital | Clinic/Center | 117 E Main St, Salem, KY 42078 | 2006-05-09 |
| 1164471926 | Joseph D. Drawdy | Registered Nurse | 117 E Main St, Salem, KY 42078-9998 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760523120 | Shannon Federico | Pharmacist | 119 East Main St., Salem, KY 42078 | 2007-02-09 |
| 1730275892 | Michael L Keller | Pharmacist | 141 Hospital Drive, Salem, KY 42078 | 2006-10-05 |
| 1629597638 | Misty Jones Turmero | Pharmacist | 119 East Main St., Salem, KY 42078 | 2017-09-12 |
| 1740689876 | Codie L Parks | Pharmacist | 131 Hospital Drive, Salem, KY 42078 | 2014-08-14 |
| 1891859799 | R V Bharne Psc | Family Medicine | 501 N Hayden Avenue, Salem, KY 42078-0376 | 2006-12-22 |
| 1215072020 | Bradley A Boone | Pharmacist | 141hospital Dr, Clinic Pharmacy, Salem, KY 42078-0498 | 2007-02-20 |
| 1073162475 | Lori Guill | Speech-Language Pathologist | 508 N Hayden Ave, Salem, KY 42078-8008 | 2019-09-09 |
| 1366543837 | Orion Salem LLC | Skilled Nursing Facility | 509 N Hayden Ave, Salem, KY 42078-8008 | 2006-09-26 |
| 1023326436 | Lifeline Homecare of Salem LLC | Clinic/Center | 503 E Main St, Salem, KY 42078-8033 | 2010-09-20 |
| 1457378044 | Robert M Wilkinson | Nurse Practitioner | 141 Hospital Dr Ste 103, Salem, KY 42078-8043 | 2006-07-17 |
| Find all providers in zip 42078 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679600936 | Ozarks Medical Center | Clinic/Center | 172 Hwy 62 East, Suite 1, Salem, AR 72576 | 2007-02-27 |
| 1821089657 | Salem Memorial Hospital | Clinic/Center | 35629 Highway 72 Bldg II, Salem, MO 65560-7217 | 2005-11-01 |
| 1639174568 | Avera Queen of Peace | Clinic/Center | 741 S Hill St, Salem, SD 57058-8761 | 2005-06-16 |
| 1649830472 | Salem Township Hospital | Clinic/Center | 1321 W Whittaker St, Salem, IL 62881-2013 | 2019-06-14 |
| 1922345800 | Salem Memorial Hospital | Clinic/Center | 35629 Highway 72, Building 1, Salem, MO 65560-7217 | 2013-01-11 |
| 1194077701 | Pcrmc Medical Group, Inc | Clinic/Center | 1415 W Scenic Rivers Blvd, Salem, MO 65560-2840 | 2012-10-05 |
| 1023326436 | Lifeline Homecare of Salem LLC | Clinic/Center | 503 E Main St, Salem, KY 42078-8033 | 2010-09-20 |
| 1619201829 | Avera Queen of Peace | Clinic/Center | 741 S Hill St, Salem, SD 57058-8761 | 2009-09-22 |
| 1619109543 | Physician Services Corp of Southern Illinois | Clinic/Center | 1250 W Whittaker St, Salem, IL 62881-1917 | 2009-08-11 |
| 1821243981 | Salem Memorial Hospital | Clinic/Center | 35629 Hwy 72, Bld. 3, Salem, MO 65560-0719 | 2008-11-17 |
| Find all providers in SALEM | ||||
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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.