T J SAMSON COMMUNITY HOSPITAL NPI 1629429360

NPI Information

  • NPI: 1629429360
  • Provider Name: T J SAMSON COMMUNITY HOSPITAL
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: T J HEALTH CAVE CITY
  • CLIA Number: 18D2115275
  • Address: 440 E HAPPY VALLEY ST
    CAVE CITY, KY
    ZIP 42127
  • Phone: (270) 773-2111

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NPI Details

T J SAMSON COMMUNITY HOSPITAL is a rural health clinic center in Cave City, KY. T J SAMSON COMMUNITY HOSPITAL NPI is 1629429360. The provider is registered as an organization entity type.
The provider Is Doing Business As T J Health Cave City.

The provider's business location address is:

440 E HAPPY VALLEY ST
CAVE CITY, KY
ZIP 42127-844
Phone: (270) 773-2111
Fax: (270) 773-2117

The provider's authorized official is Neil Thornbury .
The authorized official title is Ceo and has the following contact phone number (270) 651-4159.

The CLIA number assigned to this NPI record is 18D2115275 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2016 and was last updated on 3/30/2023.

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
1261QR1300XClinic/CenterRural HealthYes

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
17100466600MEDICAIDKENTUCKY

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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