NPIMap

Organization Active NPI

Crittenden County Hospital

Doing business as Crittenden Health System

  • General Acute Care Hospital
  • Marion, KY
National Provider Identifier
1245209790
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
100080 Issued in KY
Legal business name
CRITTENDEN COUNTY HOSPITAL
Doing business as
Crittenden Health System
Practice address
520 W Gum St
Marion, KY 42064
Phone
(270) 965-1042
Fax
(270) 965-1061
NPI assigned
Mar 16, 2006
Last updated
Jul 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Authorized official

Name
Misty Kay McKinney
Title
Controller
Phone
(270) 965-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 100080 KY Primary

Addresses

Primary practice location

520 W Gum St
Marion, KY 42064

Mailing address

520 W Gum St
P.O. Box 386
Marion, KY 42064-1516
Phone (270) 965-1042

Other identifiers 2

IdentifierTypeStateIssuer
3400128900MedicaidKY
101623700MedicaidKY

Other names 1

  • Crittenden Health System Doing business as

National Provider Directory

National Provider Directory

Locations

250 Sturgis Rd
Marion, KY 42064
Phone (270) 965-2770

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1245209790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W GUM ST",
            "address_2": "P.O. BOX 386",
            "city": "MARION",
            "state": "KY",
            "postal_code": "420641516",
            "telephone_number": "270-965-1042",
            "fax_number": "270-965-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W GUM ST",
            "city": "MARION",
            "state": "KY",
            "postal_code": "42064",
            "telephone_number": "270-965-1042",
            "fax_number": "270-965-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITTENDEN COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2018-07-26",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "270-965-1001"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "KY",
            "license": "100080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400128900",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101623700",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crittenden Health System",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crittenden Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.