NPIMap

Organization Active NPI

Adair County Hospital District

Doing business as Nurse Practitioner Group

  • Family Nurse Practitioner
  • Columbia, KY
National Provider Identifier
1366626780
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
100001 Issued in KY
Legal business name
ADAIR COUNTY HOSPITAL DISTRICT
Doing business as
Nurse Practitioner Group
Practice address
901 Westlake Dr
Columbia, KY 42728-1123
Phone
(270) 384-4753
Fax
(270) 385-9123
NPI assigned
Dec 20, 2007
Last updated
Feb 11, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ADAIR COUNTY HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Mr. Rex A Tungate
Title
Ceo
Phone
(270) 384-4753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 100001 KY Primary

Addresses

Primary practice location

901 Westlake Dr
Columbia, KY 42728-1123

Mailing address

901 Westlake Dr
Columbia, KY 42728-1123
Phone (270) 384-4753

Other identifiers 1

IdentifierTypeStateIssuer
78900198MedicaidKY

Other names 1

  • NURSE PRACTITIONER GROUP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Westlake Regional Hospi13 organizations share this tax ID, including this one
Part of
Westlake Regional Hospi

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1366626780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WESTLAKE DR",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281123",
            "telephone_number": "270-384-4753",
            "fax_number": "270-385-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WESTLAKE DR",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281123",
            "telephone_number": "270-384-4753",
            "fax_number": "270-385-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAIR COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADAIR COUNTY HOSPITAL DISTRICT",
        "enumeration_date": "2007-12-20",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "TUNGATE",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-384-4753",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "100001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78900198",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NURSE PRACTITIONER GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.