Crittenden Community Hospital LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

CRITTENDEN COMMUNITY HOSPITAL LLC

Doing business as

Burkhart Rural Health Clinic

Practice address

117 E Main St
Salem, KY 42078-9998

Phone

(270) 988-3839

NPI assigned

Jan 21, 2019

Last updated

Apr 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darrel Morris

Title

Coo

Phone

(918) 527-1234

Specialties & licenses 1

Addresses

Other names 1

• Burkhart Rural Health Clinic Doing business as

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1316411655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W GUM ST",
            "city": "MARION",
            "state": "KY",
            "postal_code": "420641516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E MAIN ST",
            "city": "SALEM",
            "state": "KY",
            "postal_code": "420789998",
            "telephone_number": "270-988-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITTENDEN COMMUNITY HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "DARREL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "918-527-1234"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burkhart Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn E Brown, PT
• Gary Hamilton Brown, PT
• Stephen B Burkhart, M.D.
• Crystalyn Carter, MNT
• Comprehensive Neurological Services
• Crittenden County Hospital (Burkhart Rural Health Clinic)
• Cumberland River Homes, Inc
• Cumberland River Homes, Inc.
• Daryl Deguire, CRNA
• Joseph D. Drawdy, APRN

• Rural Health Clinic/Center in Salem, KY
• Providers in Salem, KY by specialty
• Rural Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.