NPIMap

Organization Active NPI

Grayson County Hospital Foundation Inc

  • Clinical Medical Laboratory
  • Leitchfield, KY
National Provider Identifier
1487767828
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GRAYSON COUNTY HOSPITAL FOUNDATION INC
Practice address
910 Wallace Ave
Leitchfield, KY 42754-2414
Phone
(270) 259-9400
Fax
(270) 259-9524
NPI assigned
Aug 17, 2006
Organization subpart
Yes
Parent organization
GRAYSON COUNTY HOSPITAL FOUNDATION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Stephen Meredith
Title
Ceo
Phone
(270) 259-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

910 Wallace Ave
Leitchfield, KY 42754-2414

Mailing address

910 Wallace Ave
Leitchfield, KY 42754-2414
Phone (270) 259-9400

Other identifiers 2

IdentifierTypeStateIssuer
01006733MedicaidKY
000000369642OtherKYANTHEM PROVIDER NUMBER

Other names 1

  • TLRMC REFERENCE LAB Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grayson Co Hospital Fou5 organizations share this tax ID, including this one
Part of
Grayson Co Hospital Fou

Other organizations with this tax ID 4

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1487767828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 WALLACE AVE",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427542414",
            "telephone_number": "270-259-9400",
            "fax_number": "270-259-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 WALLACE AVE",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427542414",
            "telephone_number": "270-259-9400",
            "fax_number": "270-259-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSON COUNTY HOSPITAL FOUNDATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRAYSON COUNTY HOSPITAL FOUNDATION INC",
        "enumeration_date": "2006-08-17",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "MEREDITH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-259-9400"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01006733",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000369642",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLRMC REFERENCE LAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leitchfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.