NPIMap

Organization Active NPI

Russell County Hospital

  • Critical Access Hospital
  • Russell Springs, KY
National Provider Identifier
1013954437
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
100529 Issued in KY
Legal business name
RUSSELL COUNTY HOSPITAL
Practice address
153 Dowell Rd
Russell Springs, KY 42642-4579
Phone
(270) 866-4753
Fax
(270) 866-7148
NPI assigned
Jun 2, 2006
Last updated
Jun 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Nequila Norris
Title
Dir of Finance
Phone
(270) 858-6936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 100529 KY Primary

Addresses

Primary practice location

153 Dowell Rd
Russell Springs, KY 42642-4579

Mailing address

153 Dowell Rd
Russell Springs, KY 42642-4579
Phone (270) 858-6936

Other identifiers 1

IdentifierTypeStateIssuer
01000371MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061104000646 KY Part A Provider - Critical Access Hospital 6204887243 Receives reassigned benefits from 13 practitioners
Practice locations: Russell SPGS, KY; Russell Springs, KY
O20071213000183 KY Part A Provider - Critical Access Hospital 6204887243 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Russell Springs, KY

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1013954437. Details of each certification follow.

Hospital certification: CCN 181330

Legal name
RUSSELL COUNTY HOSPITAL
Doing business as
RUSSELL COUNTY, KENTUCKY HOSPITAL DISTRICT HEALTH FACILITY CORPORATION
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 25, 2005
Last certification
Feb 27, 2018
Beds
25
Ownership / control type
Local
Organization structure
CorporationNon-profit
Incorporated
May 31, 1979 in KY
Enrollment address
153 Dowell Rd
Russell SPGS, KY 42642-4579
Main/Primary Hospital Location

Hospital certification: CCN 18Z330

Legal name
RUSSELL COUNTY HOSPITAL
Doing business as
RUSSELL COUNTY HOSPITAL SWING
Organization structure
CorporationNon-profit
Incorporated
May 31, 1979 in KY
Enrollment address
153 Dowell Rd
Russell Springs, KY 42642-4579
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Russell County HospitalCCN 181330 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDFGBD

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Neal Dalton Individual Operational/Managerial ControlBoard Chairman Jan 1, 2015
Operational/Managerial Control Jan 1, 2015
Winfrey Bates Individual Corporate Director Jan 1, 2019
Nequila Norris Individual Corporate DirectorDirector of Finance Oct 25, 2023

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

Affiliated clinicians 162

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 162

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1013954437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 DOWELL RD",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426424579",
            "telephone_number": "270-858-6936",
            "fax_number": "270-866-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 DOWELL RD",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426424579",
            "telephone_number": "270-866-4753",
            "fax_number": "270-866-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "NEQUILA",
        "authorized_official_title_or_position": "DIR OF FINANCE",
        "authorized_official_telephone_number": "270-858-6936",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KY",
            "license": "100529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01000371",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Russell Springs, KY

Sources for this page

Verify at the official NPI Registry.