GREGORY HUDSON MD INC NPI 1952476335

NPI Information

  • NPI: 1952476335
  • Provider Name: GREGORY HUDSON MD INC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: CHRIST CARE PEDIATRICS
  • CLIA Number: 36D0683301
  • Address: 137 STATE ROUTE 3117
    SOUTH SHORE, KY
    ZIP 41175
  • Phone: (606) 932-2079

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NPI Details

GREGORY HUDSON MD INC is a rural health clinic center in South Shore, KY. GREGORY HUDSON MD INC NPI is 1952476335. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Christ Care Pediatrics.

The provider's business location address is:

137 STATE ROUTE 3117
SOUTH SHORE, KY
ZIP 41175
Phone: (606) 932-2079
Fax: (606) 932-2313

The provider's authorized official is Christine Hunt .
The authorized official title is Billing Credentialing and has the following contact phone number (606) 932-2079.

The CLIA number assigned to this NPI record is 36D0683301 - rural health clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 3/10/2021.

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
1208000000XPediatricsNo
22080A0000XPediatricsAdolescent MedicineNo
3363L00000XNurse PractitionerNo
4363LP0200XNurse PractitionerPediatricsNo
5261QR1300XClinic/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
10243927MEDICAIDOHIO
27100373950MEDICAIDKENTUCKY
37100373960MEDICAIDKENTUCKY
4K182002OTHERKENTUCKYPTAN
536D0683301OTHERKENTUCKYCLIA
67100724490MEDICAIDKENTUCKY
70433890MEDICAIDOHIO
836D2062943OTHEROHIOCLIA

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: 11/21/2025

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