CASEY COUNTY HOSPITAL DISTRICT (NPI# 1649454067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649454067 |
| Entity Type | Organization |
| Organization Name | CASEY COUNTY HOSPITAL DISTRICT |
| Other Organization Name | CASEY COUNTY HOSPITAL MEDICAL GROUP |
| Practice Address |
187 Wolford Ave Liberty KY 42539-3278 |
| Practice Telephone | 6067876275 |
| Practice Fax Number | 6067879717 |
| Mailing Telephone | 6067876275 |
| Mailing Fax Number | 6067879717 |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2017-11-03 |
| Authorized Official Name | MR. REX A TUNGATE (CEO) |
| Authorized Official Telephone | 6067876275 |
| Is Organization Subpart | Y |
| Parent Organization Name | CASEY CO HOSPITAL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
28235 | KY | Allopathic & Osteopathic Physicians |
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
31531 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65941304 | 05 |
| Other Name | Type Code |
|---|---|
| CASEY COUNTY HOSPITAL MEDICAL GROUP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679720114 | Casey County Hospital District | Clinic/Center | 112 Liberty Sq, Liberty, KY 42539-3392 | 2008-08-27 |
| 1801063615 | Casey County Hospital District | Clinical Medical Laboratory | 187 Wolford Ave, Liberty, KY 42539-3278 | 2008-05-12 |
| 1588837223 | Casey County Hospital District | Family Medicine | 187 Wolford Ave, Liberty, KY 42539-3278 | 2008-04-02 |
| 1619147832 | Casey County Hospital District | Family Medicine | 187 Wolford Ave, Liberty, KY 42539-3278 | 2008-03-04 |
| 1518141043 | Casey County Hospital District | Medicare Defined Swing Bed Unit | 187 Wolford Ave, Liberty, KY 42539-3278 | 2007-12-19 |
| 1871567362 | Casey County Hospital District | Clinic/Center | 187 Wolford Ave, Liberty, KY 42539-3187 | 2006-02-14 |
| 1407829567 | Casey County Hospital District | Emergency Medicine | 187 Wolford Ave, Liberty, KY 42539-3187 | 2006-02-09 |
| Street Address |
187 WOLFORD AVE |
| City | LIBERTY |
| State | KY |
| Zip Code | 42539-3278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467422253 | Housam I Haddad | Internal Medicine | 187 Wolford Ave, Liberty, KY 42539-3187 | 2006-01-24 |
| 1740726397 | Britni Barnett | Nurse Practitioner | 187 Wolford Ave, Liberty, KY 42539-3278 | 2017-01-06 |
| 1285909788 | Housam I Haddad Medical Practice, Pllc | Internal Medicine | 187 Wolford Ave, Liberty, KY 42539-3278 | 2012-03-15 |
| 1801063615 | Casey County Hospital District | Clinical Medical Laboratory | 187 Wolford Ave, Liberty, KY 42539-3278 | 2008-05-12 |
| 1588837223 | Casey County Hospital District | Family Medicine | 187 Wolford Ave, Liberty, KY 42539-3278 | 2008-04-02 |
| 1982876777 | Michael S Sloane | Physical Therapist | 187 Wolford Ave, Liberty, KY 42539-3278 | 2008-04-01 |
| 1982876173 | Casey County Primary Care Nursing Group | Nurse Practitioner | 187 Wolford Ave, Liberty, KY 42539-3278 | 2008-03-27 |
| 1619147832 | Casey County Hospital District | Family Medicine | 187 Wolford Ave, Liberty, KY 42539-3278 | 2008-03-04 |
| 1518141043 | Casey County Hospital District | Medicare Defined Swing Bed Unit | 187 Wolford Ave, Liberty, KY 42539-3278 | 2007-12-19 |
| 1861574451 | John Robert Smart IIi | Family Medicine | 187 Wolford Ave, Liberty, KY 42539-3278 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710547211 | Adult Day Health, Inc. | Clinic/Center | 39 Hwy 49, Liberty, KY 42539 | 2019-06-17 |
| 1144521303 | David Antonio Medina | Chiropractor | 69 Hustonville St., Liberty, KY 42539 | 2010-11-04 |
| 1356677694 | Masata, Inc. | Community/Behavioral Health | 549 Middleburg St., Liberty, KY 42539 | 2009-10-21 |
| 1174798078 | Dr. Michele Beeler, D.m.d., Pllc | Dentist | 650 Whipp Avenue, Liberty, KY 42539 | 2008-04-23 |
| 1134314230 | Cundiff Family Chiropractic, Psc | Chiropractor | 256 N. Wallace Wilkinson Blvd., Liberty, KY 42539 | 2007-09-11 |
| 1770782633 | Lake Cumberland District Health | Public Health or Welfare | 2834 S. Us 127, Liberty, KY 42539 | 2007-07-12 |
| 1568596286 | Back and Body Chiropractic Center Inc. | Chiropractor | 69 Hustonville Street, Liberty, KY 42539 | 2007-03-15 |
| 1497890545 | Lake Cumberland District Health Department | Public Health or Welfare | 199 Adams Street, Liberty, KY 42539 | 2007-02-20 |
| 1891836581 | Stanford Family Medicine & Obstetrics Psc | Legal Medicine | 19 Abes Plaza, Old Hustonville Rd, Liberty, KY 42539 | 2007-02-08 |
| 1740331537 | Sheila Ann Ping | Speech-Language Pathologist | 7235 Thomas Ridge Road, Liberty, KY 42539 | 2007-01-16 |
| Find all providers in zip 42539 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407829567 | Casey County Hospital District | Emergency Medicine | 187 Wolford Ave, Liberty, KY 42539-3187 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568000131 | Larry M Owens | Emergency Medicine | 22 Mercy Ct, Irvine, KY 40336-1331 | 2019-12-14 |
| 1245705052 | Caylon Napier | Emergency Medicine | 76 Willard Ln, Beattyville, KY 41311 | 2018-10-08 |
| 1376869461 | Nathan Michael Bullington | Emergency Medicine | 3950 Kresge Way Ste 405, Louisville, KY 40207-4637 | 2010-04-14 |
| 1437182987 | Bhadra Parikh | Emergency Medicine | 3699 Alexandria Pike, Cold Spring, KY 41076-1789 | 2006-07-08 |
| 1265490171 | Jmhc Inc | Emergency Medicine | 2325 Concrete Rd, Carlisle, KY 40311-9721 | 2006-05-02 |
| 1558336396 | Leland J Irwin | Emergency Medicine | 1740 Nicholasville Road, Lexington, KY 40503 | 2006-02-22 |
| 1912544958 | Methodist Health, Inc. | Emergency Medicine | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-12-10 |
| 1578917142 | Steve Duleh | Emergency Medicine | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2016-04-19 |
| 1144524802 | Baptist Community Health Services | Emergency Medicine | 2600 Stanley Gault Pkwy, Suite 201, Louisville, KY 40223-4197 | 2011-01-10 |
| 1508160276 | Baptist Community Health Services | Emergency Medicine | 2400 Eastpoint Pkwy, Suite 100, Louisville, KY 40223-4154 | 2011-01-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CASEY COUNTY HOSPITAL DISTRICT.
| 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.