CCMH CORPORATION NPI 1558585091

NPI Information

NPI: 1558585091
Provider Name: CCMH CORPORATION
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
Doing Business As: CARROLL COUNTY MEMORIAL HOSPITAL RURAL HEALTH CLINIC
CLIA Number: 18D1004478
Address: 309 11TH ST
CARROLLTON, KY
ZIP 41008
Phone: (502) 732-3272

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NPI Details

CCMH CORPORATION is a rural health clinic center in Carrollton, KY. CCMH CORPORATION NPI is 1558585091. The provider is registered as an organization entity type.
The provider Is Doing Business As Carroll County Memorial Hospital Rural Health Clinic.

The provider's business location address is:

309 11TH ST
CARROLLTON, KY
ZIP 41008-435
Phone: (502) 732-3272
Fax: (502) 732-3284

The provider's authorized official is Sheila Tomlinson .
The authorized official title is Practice Manager and has the following contact phone number (502) 732-3278.

The CLIA number assigned to this NPI record is 18D1004478 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 5/11/2021.

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
2	282NR1301X	General Acute Care Hospital	Rural			No

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	7100045310	MEDICAID	KENTUCKY
2	000000526902	OTHER	KENTUCKY	ANTHEM
3	50014319	OTHER	KENTUCKY	PASSPORT

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: 3/30/2025

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