CASEY COUNTY HOSPITAL DISTRICT NPI 1407829567

NPI Information

NPI: 1407829567
Provider Name: CASEY COUNTY HOSPITAL DISTRICT
Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

CLIA Number: 18D0326811

Address:
187 WOLFORD AVE
LIBERTY, KY
ZIP 42539
Phone: (606) 787-6275
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CASEY COUNTY HOSPITAL DISTRICT is a critical access general acute care hospital in Liberty, KY. CASEY COUNTY HOSPITAL DISTRICT NPI is 1407829567. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

187 WOLFORD AVE
LIBERTY, KY
ZIP 42539-187
Phone: (606) 787-6275
Fax: (606) 787-0251

The provider's authorized official is Rex A Tungate .
The authorized official title is Ceo Adminitstrator and has the following contact phone number (606) 787-6275.

The CLIA number assigned to this NPI record is 18D0326811 - other with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/9/2006 and was last updated on 2/26/2019.

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	207PE0004X	Emergency Medicine	Emergency Medical Services			No
2	282NC0060X	General Acute Care Hospital	Critical Access	600060	KENTUCKY	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	65941304	MEDICAID	KENTUCKY
2	01000280	MEDICAID	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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