Organization Active NPI

Clinton County Hospital, Inc.

  • Rural Acute Care Hospital
  • Albany, KY
National Provider Identifier
1316939689
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
100078 Issued in KY
Legal business name
CLINTON COUNTY HOSPITAL, INC.
Practice address
723 Burkesville Rd
Albany, KY 42602-1654
Phone
(606) 387-6421
Fax
(606) 387-8550
NPI assigned
Aug 22, 2005
Last updated
Jun 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Authorized official

Name
Mr. J. D. Mullins
Title
Administrator
Phone
(606) 387-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 100078 KY Primary

Addresses

Primary practice location

723 Burkesville Rd
Albany, KY 42602-1654

Mailing address

723 Burkesville Rd
Albany, KY 42602-1654
Phone (606) 387-6421

Other identifiers 7

IdentifierTypeStateIssuer
000000054951OtherKYBLUE CROSS BLUE SHIELD
61124OtherKYBLUEGRASS FAMILY
9388OtherKYTENNCARE
01002427MedicaidKY
500-00062OtherKYUNITED HEALTHCARE
61101OtherKYHUMANA
030644000OtherKYBLACK LUNG

National Provider Directory

National Provider Directory
Tax ID family
Clinton County Hospital Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1316939689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 BURKESVILLE RD",
            "city": "ALBANY",
            "state": "KY",
            "postal_code": "426021654",
            "telephone_number": "606-387-6421",
            "fax_number": "606-387-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 BURKESVILLE RD",
            "city": "ALBANY",
            "state": "KY",
            "postal_code": "426021654",
            "telephone_number": "606-387-6421",
            "fax_number": "606-387-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON COUNTY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "606-387-3600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "KY",
            "license": "100078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000054951",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUEGRASS FAMILY",
            "identifier": "61124",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE",
            "identifier": "9388",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01002427",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "500-00062",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "61101",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "030644000",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.