Clinton and Hickman County Hospital, Inc.

Key facts

NPI: 1467520650
Entity type: Organization (NPI type 2)
Primary specialty: Skilled Nursing Facility 314000000X
License: 100180 (KY)
Legal business name: CLINTON AND HICKMAN COUNTY HOSPITAL, INC.
Practice address: 366 S Washington St
Clinton, KY 42031-1324
Phone: (270) 653-2461
Fax: (270) 653-4162
NPI assigned: Dec 4, 2006
Organization subpart: No

Authorized official

Name: Mr. William B. Little, ADMINISTRATOR
Title: Administraot
Phone: (270) 653-2461

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Richard Darren Stone, D.O. Family Medicine Physician · Mayfield, KY · NPI 1508178336

CMS ownership ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

David R Zetter, MD General Practice Physician · Arlington, KY · NPI 1598711756

NPD (past)

Affiliated clinicians 1

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

Richard Darren Stone, D.O. Family Medicine Physician · Mayfield, KY · NPI 1508178336

Care Compare affiliation Nursing home

Medicare Care Compare: Nursing home

Listed as: Clinton-Hickman County Nursing Facility CCN 185326
Overall star rating: ★★★★☆ 4 of 5
Health inspections: ★★★☆☆ 3 of 5
Staffing: ★★★★★ 5 of 5
Quality measures: ★★☆☆☆ 2 of 5
Type: Medicare and Medicaid
Ownership: Non profit - Corporation
Certified: Mar 1, 1992
Medicare certification status: Active (Provider of Services file)
Certified beds: 46 · 37.1 residents per day on average

Source: Medicare Care Compare, processed Aug 1, 2026.

Medicare participation

Medicare fee-for-service enrollment: Enrolled in KY

Skilled nursing facility certification: CCN 185326

Legal name: CLINTON AND HICKMAN COUNTY HOSPITAL, INC.
Doing business as: CLINTON-HICKMAN COUNTY SNF/ICF
Certification status: Active
Provider type (POS): Nursing home – SNF/NF dual certification
Participating since: Mar 1, 1992
Last certification: Apr 25, 2024
Beds: 46
Ownership / control type: Nonprofit Corporation
Organization structure: Corporation · Non-profit
Enrollment address: 366 S Washington St
Clinton, KY 42031-1324
Nursing home name: CLINTON-HICKMAN COUNTY NURSING FACILITY

All disclosed owners & managing parties 9

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

Name	Role	Since	Share
Richard Thomas Individual	Corporate Director Board Member	Jun 24, 2024
Tony Workman Individual	Corporate Director Board Member	Jun 24, 2024
Larry Lewis Individual	Corporate Director Board Member	Jun 15, 1970
Lilly Kimbell Individual	Corporate Director Board Member	Jun 1, 2021
Scott Smith Individual	Corporate Officer Board Treasurer	Apr 23, 2002
Scott Smith Individual	Corporate Director Board Member	Apr 23, 2002
Richard Stone Individual	Operational/Managerial Control	Oct 18, 2013
Richard Stone Individual	Adp of the SNF	Oct 18, 2013
Clinton and Hickman County Hospital, Inc. Organization · Clinton, KY Corporation	5% Or Greater Direct Ownership Interest	Jan 1, 1970	100%
	Operational/Managerial Control	Jan 1, 1970
William Little Individual	Corporate Director Board Member	Oct 20, 1969
Jennifer Connell Individual	Corporate Officer Chief Executive Officer	Sep 25, 2017
	Operational/Managerial Control	Sep 25, 2017
	Adp of the SNF	Sep 25, 2017

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20120315000626	KY	Part a Provider - Skilled Nursing Facility	8224297981	Practice locations: Clinton, KY

National Provider Directory

Locations

366 S Washington St
Clinton, KY 42031
Phone (270) 653-2461

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Skilled Nursing Facility	314000000X	100180	KY	Yes

Addresses

Primary practice location

366 S Washington St
Clinton, KY 42031-1324

Mailing address

366 S Washington St
Clinton, KY 42031-1324
Phone (270) 653-2461

Other identifiers

Identifier	Type	State	Issuer
12502464	Medicaid	KY

Other providers in Clinton, KY

Michael Shawn Boaz, R.PH
Jo Ann N Bolli, M.D.
John Garland Byassee, PHARM.D.
Rick Canty, D.M.D.
Jessica Brook Charlton, L.P.C.A.
Clinton Dental Clinic,Inc.
Clinton Pharmacy LLC
Clinton Pharmacy LLC
Clinton-Hickman County Ambulance Service Inc
Communtiy Healthcare of Western Kentucky LLC

All providers in Clinton, KY · Skilled Nursing Facility in Kentucky

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.