NPIMap

Organization Active NPI

Grayson County Hospital Foundation Inc

Doing business as Twin Lakes Regional Medical Center Swing

  • Medicare Defined Swing Bed Hospital Unit
  • Leitchfield, KY
National Provider Identifier
1023010303
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
100151 Issued in KY
Legal business name
GRAYSON COUNTY HOSPITAL FOUNDATION INC
Doing business as
Twin Lakes Regional Medical Center Swing
Practice address
910 Wallace Ave
Leitchfield, KY 42754-1418
Phone
(270) 259-9400
NPI assigned
Jun 1, 2005
Last updated
Jul 10, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
GRAYSON COUNTY HOSPITAL FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Stephen L Meredith
Title
Ceo
Phone
(270) 259-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 100151 KY Primary

Addresses

Primary practice location

910 Wallace Ave
Leitchfield, KY 42754-1418

Mailing address

910 Wallace Ave
Leitchfield, KY 42754-1418
Phone (270) 259-9400

Other identifiers 2

IdentifierTypeStateIssuer
000000054566OtherKYANTHEM
12700449MedicaidKY

Other names 1

  • TWIN LAKES REGIONAL MEDICAL CENTER SWING Doing business as

National Provider Directory

National Provider Directory
Part of
Community HLTH Care Plus

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1023010303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 WALLACE AVE",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427541418",
            "telephone_number": "270-259-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 WALLACE AVE",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427541418",
            "telephone_number": "270-259-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSON COUNTY HOSPITAL FOUNDATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRAYSON COUNTY HOSPITAL FOUNDATION",
        "enumeration_date": "2005-06-01",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "MEREDITH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-259-9400"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "KY",
            "license": "100151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000054566",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12700449",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TWIN LAKES REGIONAL MEDICAL CENTER SWING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leitchfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.