RUSSELL COUNTY HOSPITAL NPI 1073936902

NPI Information

NPI: 1073936902
Provider Name: RUSSELL COUNTY HOSPITAL
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 18D2052036

Address:
124 DOWELL RD
RUSSELL SPRINGS, KY
ZIP 42642
Phone: (270) 866-4141
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RUSSELL COUNTY HOSPITAL is a rural health clinic center in Russell Springs, KY. RUSSELL COUNTY HOSPITAL NPI is 1073936902. The provider is registered as an organization entity type.

The provider's business location address is:

124 DOWELL RD
RUSSELL SPRINGS, KY
ZIP 42642-278
Phone: (270) 866-4141

The provider's authorized official is Janie Landis .
The authorized official title is Chief Financial Officer and has the following contact phone number (270) 866-4753.

The CLIA number assigned to this NPI record is 18D2052036 - other - jail medical unit with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2014 and was last updated on 10/6/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0551	MEDICARE PIN	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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