Grayson County Hospital Foundation Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

GRAYSON COUNTY HOSPITAL FOUNDATION INC

Practice address

301 Sunset Dr
Caneyville, KY 42721-9172

Phone

(270) 879-3711

Fax

(270) 879-8674

NPI assigned

Feb 12, 2020

Organization subpart

Yes

Parent organization

GRAYSON COUNTY HOSPITAL FOUNDATION INCAs 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) 259-9400

Specialties & licenses 1

Addresses

Other names 1

• Twin Lakes Rural Health Clinic at Caneyville Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Part of

Grayson Co Hospital Fou

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Owensboro Health Twin Lakes Regional Medical Center, Inc

  • Rural Health Clinic/Center
  • Caneyville, KY
  • NPI 1346846268

  Sold to, 2021-01-01

  CMS change of ownership

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.

  • 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": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1164054664",
    "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": "301 SUNSET DR",
            "city": "CANEYVILLE",
            "state": "KY",
            "postal_code": "427219172",
            "telephone_number": "270-879-3711",
            "fax_number": "270-879-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSON COUNTY HOSPITAL FOUNDATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRAYSON COUNTY HOSPITAL FOUNDATION INC",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "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": "270-259-9400"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Lakes Rural Health Clinic at Caneyville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Ann Decker, M.S.CCC-SLP
• Embry Medical Supply
• Embry Welding Supply Inc
• Martha Gary
• Andrea H. Gay, APRN
• Robert E McClure, MD
• Midway Pharmacy of Clarkson, Inc
• Owensboro Health Twin Lakes Regional Medical Center, Inc
• Mike J Utley, D.M.D.

• All providers in Caneyville, KY
• Rural Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.