RUSSELL COUNTY HOSPITAL (NPI# 1902361165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902361165 |
| Entity Type | Organization |
| Organization Name | RUSSELL COUNTY HOSPITAL |
| Practice Address |
153 Dowell Rd Russell Springs KY 42642-4579 |
| Mailing Address |
Po Box 1610 Russell Springs KY 42642-1610 |
| Practice Telephone | 2708664141 |
| Mailing Telephone | 2708664141 |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-02-01 |
| 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 | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65942955 | 05 |
| Other Name | Type Code |
|---|---|
| RCH Physician Asst | Other Name - Individual/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 |
| 1295245025 | Russell County Hospital | Clinic/Center | 92 Joe T Petty Dr, Russell Springs, KY 42642-8544 | 2017-10-06 |
| 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 |
153 DOWELL RD |
| City | RUSSELL SPRINGS |
| State | KY |
| Zip Code | 42642-4579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013954437 | Russell County Hospital | General Acute Care Hospital | 153 Dowell Rd, Russell Springs, KY 42642-4579 | 2006-06-02 |
| 1285247304 | Abigail L Eads | Dietitian, Registered | 153 Dowell Rd, Russell Springs, KY 42642-4579 | 2020-08-28 |
| 1245873090 | Jatessia Marcum | Nurse Practitioner | 153 Dowell Rd, Russell Springs, KY 42642-4579 | 2019-10-24 |
| 1346721164 | Craig Allen Cooley | Physician Assistant | 153 Dowell Rd, Russell Springs, KY 42642-4579 | 2018-08-29 |
| 1851521744 | Macon Samuel Bradley | Emergency Medicine | 153 Dowell Rd, Russell Springs, KY 42642-4579 | 2009-07-25 |
| 1477729218 | Stephen Aitken | Nurse Anesthetist, Certified Registered | 153 Dowell Rd, Russell Springs, KY 42642-4579 | 2008-05-01 |
| 1225187206 | Russell County Radiology, Psc | Radiology | 153 Dowell Rd, Russell Springs, KY 42642-4579 | 2007-01-09 |
| 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 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346721164 | Craig Allen Cooley | Physician Assistant | 153 Dowell Rd, Russell Springs, KY 42642-4579 | 2018-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225591 | Alexis Garrett | Physician Assistant | 16993 Green Crest Ln, Louisville, KY 40245-3217 | 2020-11-03 |
| 1215535257 | Melissa Lee Amos | Physician Assistant | 3543 Providence Trace Dr, Melbourne, KY 41059-9203 | 2020-10-12 |
| 1780282095 | Alison Deanne Power | Physician Assistant | 3209 Keithshire Way, Lexington, KY 40503-3481 | 2020-10-09 |
| 1225635691 | Mark Douglas Crawford II | Physician Assistant | 1288 Wyan Rd, London, KY 40744-9052 | 2020-10-07 |
| 1114524188 | Dustin Scott Ammerman | Physician Assistant | 682 Reed Rd, London, KY 40741-8662 | 2020-10-02 |
| 1588270110 | Reid Van Bussum | Physician Assistant | 913 Fiddler Creek Way, Lexington, KY 40515-6460 | 2020-09-18 |
| 1568077808 | Breanna Larae Damron | Physician Assistant | 1128 Ramey Ave, Worthington, KY 41183-9229 | 2020-09-14 |
| 1477168169 | Eleshia Stephenie Sumner | Physician Assistant | 252 Sargent Rd, Pine Knot, KY 42635 | 2020-09-10 |
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1902417389 | Kassandra Nicole Neltner | Physician Assistant | 2720 Marlo Way, Lakeside Park, KY 41017-2149 | 2020-08-11 |
| 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.