NPIMap

Organization Active NPI

Jane Todd Crawford Memorial Hospital, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Greensburg, KY
National Provider Identifier
1386863132
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
600077 Issued in KY
Legal business name
JANE TODD CRAWFORD MEMORIAL HOSPITAL, INC.
Practice address
290 Industrial Park Rd.
Greensburg, KY 42743
Phone
(270) 932-4211
Fax
(270) 932-3504
NPI assigned
Apr 24, 2007
Last updated
Dec 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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, Administrator
Phone
(270) 932-4211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 600077 KY Primary

Addresses

Primary practice location

290 Industrial Park Rd.
Greensburg, KY 42743

Mailing address

290 Industrial Park Rd.
Greensburg, KY 42743
Phone (270) 932-4211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071130000382 KY Part A Provider - Critical Access Hospital 5092810994 Practice locations: Greensburg, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386863132. Details of each certification follow.

Hospital certification: CCN 18Z325

Legal name
JANE TODD CRAWFORD MEMORIAL HOSPITAL INC.
Doing business as
JANE TODD CRAWFORD MEMORIAL HOSPITAL, INC. SWING
Organization structure
CorporationNon-profit
Incorporated
Feb 1, 2007 in KY
Enrollment address
290 Industrial Park Rd
Greensburg, KY 42743-1400
Hospital Rehabilitation Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Green County Primary Care7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rex Tungate Individual Corporate OfficerChief Executive Officer Feb 1, 2007
Joe Shuffett Individual Corporate DirectorBoard Member Feb 1, 2007
Steve Lewis Individual Corporate DirectorBoard Member Feb 1, 2007
Cinda L Meyer Individual W-2 Managing EmployeeAssistant Administrator Feb 1, 2007
Valerie Perkins Individual Corporate DirectorSecretary Board of Directors Feb 1, 2007
Ruthie Shuffett Individual Corporate DirectorPresident Board of Directors Feb 1, 2007

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1386863132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 INDUSTRIAL PARK RD.",
            "city": "GREENSBURG",
            "state": "KY",
            "postal_code": "42743",
            "telephone_number": "270-932-4211",
            "fax_number": "270-932-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 INDUSTRIAL PARK RD.",
            "city": "GREENSBURG",
            "state": "KY",
            "postal_code": "42743",
            "telephone_number": "270-932-4211",
            "fax_number": "270-932-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE TODD CRAWFORD MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "TUNGATE",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO, ADMINISTRATOR",
        "authorized_official_telephone_number": "270-932-4211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "KY",
            "license": "600077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, KY

Sources for this page

Verify at the official NPI Registry.