Organization Active NPI

Grayson County Hospital Foundation Inc

  • Obstetrics & Gynecology Physician
  • Leitchfield, KY
National Provider Identifier
1104454834
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
GRAYSON COUNTY HOSPITAL FOUNDATION INC
Practice address
910 Wallace Ave
Leitchfield, KY 42754-2414
Phone
(270) 259-9400
Fax
(270) 259-9536
NPI assigned
Mar 30, 2020
Organization subpart
Yes
Parent organization
GRAYSON COUNTY HOSPITAL FOUNDATION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Authorized official

Name
Cynthia R Bailey
Title
Reimbursement Anal;Yst
Phone
(270) 259-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

910 Wallace Ave
Leitchfield, KY 42754-2414

Mailing address

910 Wallace Ave
Leitchfield, KY 42754-2414
Phone (270) 259-9400

Other names 1

  • TWIN LAKES LEE, BUCK AND LEE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grayson Co Hospital Fou5 organizations share this tax ID, including this one
Part of
Grayson Co Hospital Fou

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

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.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1104454834",
    "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": "427542414",
            "telephone_number": "270-259-9400",
            "fax_number": "270-259-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 WALLACE AVE",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427542414",
            "telephone_number": "270-259-9400",
            "fax_number": "270-259-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSON COUNTY HOSPITAL FOUNDATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRAYSON COUNTY HOSPITAL FOUNDATION INC",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "REIMBURSEMENT ANAL;YST",
        "authorized_official_telephone_number": "270-259-9400"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TWIN LAKES LEE, BUCK AND LEE",
            "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 Mar 30, 2020; 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.