CRITTENDEN COMMUNITY HOSPITAL LLC (NPI# 1902360175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902360175 |
| Entity Type | Organization |
| Organization Name | CRITTENDEN COMMUNITY HOSPITAL LLC |
| Other Organization Name | CRITTENDEN COMMUNITY HOSPITAL LLC |
| Practice Address |
520 W Gum St Marion KY 42064-1516 |
| Practice Telephone | 2709651042 |
| Enumeration Date | 2019-01-22 |
| 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 |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Crittenden Community Hospital LLC | 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 |
| 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 |
| 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 |
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437274339 | Mcdowell Hospital | Medicare Defined Swing Bed Unit | 430 Rankin, Marion, NC 28752 | 2007-03-20 |
| 1114199122 | Accuracy Urgent Care | Medicare Defined Swing Bed Unit | 805 W Deyoung St, Suite E, Marion, IL 62959-1604 | 2008-03-31 |
| 1487832200 | Smyth County Community Hospital | Medicare Defined Swing Bed Unit | 245 Medical Park Dr, Marion, VA 24354-1100 | 2008-02-04 |
| 1831213651 | Crittenden County Hospital | Medicare Defined Swing Bed Unit | 520 W Gum St, Marion, KY 42064-1516 | 2007-03-19 |
| 1619991072 | Hospital District No 1 Marion Co | Medicare Defined Swing Bed Unit | 535 S Freeborn St, Marion, KS 66861-1256 | 2006-07-27 |
| 1750352746 | Marion Hospital Corporation | Medicare Defined Swing Bed Unit | 3333 W Deyoung St, Marion, IL 62959-5884 | 2006-01-30 |
| 1972504595 | Mcdowell Hospital | Medicare Defined Swing Bed Unit | 430 Rankin Dr, Marion, NC 28752-6568 | 2005-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164578662 | Emhfl, Inc | Medicare Defined Swing Bed Unit | 124 Portman Ave, Stanford, KY 40484-1230 | 2007-01-26 |
| 1285296848 | Arh Tug Valley Health Services, Inc. | Medicare Defined Swing Bed Unit | 5000 Ky Route 321, Prestonsburg, KY 41653-9113 | 2019-07-03 |
| 1275192015 | Pineville Community Health Center Inc | Medicare Defined Swing Bed Unit | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-06-06 |
| 1710470828 | Arh Mary Breckinridge Health Services, Inc. | Medicare Defined Swing Bed Unit | 11203 Main St, Martin, KY 41649-7999 | 2018-06-13 |
| 1629568126 | Pineville Medical Center, LLC | Medicare Defined Swing Bed Unit | 850 Riverview Ave, Pineville, KY 40977-1452 | 2018-05-10 |
| 1326590852 | St Elizabeth Medical Center Inc | Medicare Defined Swing Bed Unit | 238 Barnes Rd, Williamstown, KY 41097-9482 | 2016-11-01 |
| 1861843401 | Pineville Community Hospital Association, Inc. | Medicare Defined Swing Bed Unit | 850 Riverview Ave, Pineville, KY 40977-1452 | 2016-06-24 |
| 1730547407 | T J Health Columbia Inc | Medicare Defined Swing Bed Unit | 901 Westlake Dr, Columbia, KY 42728-1123 | 2016-02-09 |
| 1710352935 | Bowling Green Warren County Community Hospital Corporation | Medicare Defined Swing Bed Unit | 1501 S Dixie St, Horse Cave, KY 42749-1480 | 2015-12-14 |
| 1295106219 | Arh Mary Breckinridge Health Services, Inc. | Medicare Defined Swing Bed Unit | 80 Hospital Dr, Barbourville, KY 40906-7363 | 2015-10-16 |
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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.