NPIMap

Organization Active NPI

Caverna Memorial Hospital Inc.

Doing business as Caverna Memorial Hospital

  • Critical Access Hospital
  • Horse Cave, KY
National Provider Identifier
1376586404
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
600065 Issued in KY
Legal business name
CAVERNA MEMORIAL HOSPITAL INC.
Doing business as
Caverna Memorial Hospital
Practice address
1501 S Dixie St
Horse Cave, KY 42749-1480
Phone
(270) 786-2191
Fax
(270) 786-1557
NPI assigned
Jun 14, 2006
Last updated
Sep 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Authorized official

Name
Mr. Alan Alexander
Title
Ceo
Phone
(270) 786-2191

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 600065 KY Primary
Certified Registered Nurse Anesthetist 367500000X

Addresses

Primary practice location

1501 S Dixie St
Horse Cave, KY 42749-1480

Mailing address

1501 S Dixie St
Horse Cave, KY 42749-1480
Phone (270) 786-2191

Other identifiers 2

IdentifierTypeStateIssuer
01016732MedicaidKY
7100146050MedicaidKY

Other names 1

  • Caverna Memorial Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bowling Green Warren County Community Hospital Corporation42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

Locations

1501 S Dixie St
Park, KY 42749
Phone (270) 745-1255

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1376586404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S DIXIE ST",
            "city": "HORSE CAVE",
            "state": "KY",
            "postal_code": "427491480",
            "telephone_number": "270-786-2191",
            "fax_number": "270-786-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S DIXIE ST",
            "city": "HORSE CAVE",
            "state": "KY",
            "postal_code": "427491480",
            "telephone_number": "270-786-2191",
            "fax_number": "270-786-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVERNA MEMORIAL HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-786-2191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KY",
            "license": "600065",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01016732",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100146050",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caverna Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Horse Cave, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.