Active NPI
Hardin Memorial Hospital
- Skilled Nursing Facility
- Elizabethtown, KY
National Provider Identifier
1639134141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 100750
- Legal business name
- HARDIN MEMORIAL HOSPITAL
- Practice address
- 913 N Dixie Ave
Elizabethtown, KY 42701-2503 - Phone
- (270) 737-1212
- Fax
- (270) 706-1141
- NPI assigned
- Apr 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David L. Gray
- Title
- Ceo
- Phone
- (270) 706-1602
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 100750 | KY | Primary |
Addresses
Primary practice location
913 N Dixie Ave
Elizabethtown, KY 42701-2503
Mailing address
913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 737-1212
Other names 1
- Nursing Facility of Hardin Memorial Hospital
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1639134141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 N DIXIE AVE",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012503",
"telephone_number": "270-737-1212",
"fax_number": "270-706-1141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 N DIXIE AVE",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012503",
"telephone_number": "270-737-1212",
"fax_number": "270-706-1141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARDIN MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GRAY",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "270-706-1602",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KY",
"license": "100750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nursing Facility of Hardin Memorial Hospital",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.