Taylor County Hospital District Health Facilities Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36886 Issued in KY

Legal business name

TAYLOR COUNTY HOSPITAL DISTRICT HEALTH FACILITIES CORPORATION

Practice address

67 Kingswood Dr
Campbellsville, KY 42718-9647

Phone

(270) 465-2116

Fax

(270) 465-2126

NPI assigned

Aug 15, 2007

Organization subpart

No

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

Authorized official

Name

Terri Jones Blair

Title

Office Manager

Phone

(270) 465-2116

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Taylor Regional Hospital Other name

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Taylor County Hospital District Health Facilities Corporation

  • General Acute Care Hospital
  • Campbellsville, KY
  • NPI 1477757151

  O20040505000377

  Same enrollment
• Taylor County Hospital District Health Facilities Corporation

  • General Acute Care Hospital
  • Campbellsville, KY
  • NPI 1689761942

  O20040505000377

  Same enrollment

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1104018944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 KINGSWOOD DR",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189647",
            "telephone_number": "270-465-2116",
            "fax_number": "270-465-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 KINGSWOOD DR",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189647",
            "telephone_number": "270-465-2116",
            "fax_number": "270-465-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR COUNTY HOSPITAL DISTRICT HEALTH FACILITIES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "JONES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-465-2116"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "36886",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "KY",
            "license": "36886",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "36886",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "KY",
            "license": "36886",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64108343",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylor Regional Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tess Tallent, OTR/L
• Taylor County Anesthesia PSC
• Taylor County Chiropractic and Rehabilitation LLC
• Taylor County Chiropractic Inc
• Taylor County Family Practice PSC
• Taylor County Hospital District Health Facilities Corporation
• Taylor County Hospital District Health Facilities Corporation
• Taylor County Hospital District Health Facilities Corporation
• Taylor County Hospital District Health Facilities Corporation
• Taylor County Hospital District Health Facilities Corporation

• Internal Medicine Physician in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.