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CASEY COUNTY HOSPITAL DISTRICT NPI 1649454067


NPI Information

NPI: 1649454067
Provider Name: CASEY COUNTY HOSPITAL DISTRICT

Doing Business As: CASEY COUNTY HOSPITAL MEDICAL GROUP

Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization

Specialization: Emergency Medical Services

Address:
187 WOLFORD AVE
LIBERTY, KY
ZIP 42539
Phone: (606) 787-6275
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CASEY COUNTY HOSPITAL DISTRICT is an emergency medical services emergency medicine in Liberty, KY. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. CASEY COUNTY HOSPITAL DISTRICT NPI is 1649454067. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Casey County Hospital Medical Group.

The provider's business location address is:

187 WOLFORD AVE
LIBERTY, KY
ZIP 42539-278
Phone: (606) 787-6275
Fax: (606) 787-9717

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

The enumeration date for this NPI number is 12/20/2007 and was last updated on 11/3/2017.


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
1207Q00000XFamily MedicineNo
22085R0202XRadiologyDiagnostic Radiology28235KENTUCKYNo
3207PE0004XEmergency MedicineEmergency Medical Services31531KENTUCKYYes

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
165941304MEDICAIDKENTUCKY

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

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