Grayson County Hospital Foundation Inc

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

100151 Issued in KY

Legal business name

GRAYSON COUNTY HOSPITAL FOUNDATION INC

Doing business as

Twin Lakes Regional Medical Center

Practice address

910 Wallace Ave
Leitchfield, KY 42754-1418

Phone

(270) 259-9400

Fax

(270) 259-9524

NPI assigned

Jun 1, 2005

Last updated

Feb 19, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

GRAYSON COUNTY HOSPITAL FOUNDATIONAs reported in NPPES

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

Authorized official

Name

Cynthia R Bailey

Title

Reimbursement Analyst

Phone

(270) 259-1656

Specialties & licenses 3

Addresses

Other identifiers 6

Other names 1

• TWIN LAKES REGIONAL MEDICAL CENTER Doing business as

Part of

Community HLTH Care Plus

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.

• Grayson County Hospital Foundation Inc.

  dba Twin Lakes Home Health Agency

  • Home Health Agency
  • Leitchfield, KY
  • NPI 1114926854
  NPPES parent name

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1114929494",
    "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",
            "fax_number": "270-259-9524"
        }
    ],
    "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": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "REIMBURSEMENT ANALYST",
        "authorized_official_telephone_number": "270-259-1656"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "KY",
            "license": "100151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4500270600",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01006733",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4588851800",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER #",
            "identifier": "000000054565",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1048799",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2432221000",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TWIN LAKES REGIONAL MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grayson County Emergency Medical Services, Inc.
• Grayson County Family Medicine, PLLC
• Grayson County Health Department
• Grayson County Hospital Foundation Inc (Twin Lakes Regional Medical Center Swing)
• Grayson County Hospital Foundation Inc (Twin Lakes Lee, Buck and Lee)
• Grayson County Hospital Foundation Inc (Twin Lakes Emergency)
• Grayson County Hospital Foundation Inc (Tlrmc Reference Lab)
• Grayson County Hospital Foundation Inc. (Twin Lakes Home Health Agency)
• Grayson Emergency Group LLC
• Grayson Housing Incorporated (Grayson Manor Nursing Home)

• General Acute Care Hospital in Leitchfield, KY
• Providers in Leitchfield, KY by specialty
• General Acute Care Hospital in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.