Active NPI
Crittenden County Hospital
Doing business as Crittenden Health Systems
- Certified Registered Nurse Anesthetist
- Marion, KY
National Provider Identifier
1679516025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1621A
- Legal business name
- CRITTENDEN COUNTY HOSPITAL
- Doing business as
- Crittenden Health Systems
- Practice address
- 520 W Gum St
Marion, KY 42064-1516 - Phone
- (270) 965-5281
- NPI assigned
- Jun 14, 2006
- Last updated
- Mar 6, 2012
- 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. Thomas M Hales
- Title
- Chief Financial Officer
- Phone
- (270) 965-1042
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1621A | KY | Primary |
Addresses
Primary practice location
520 W Gum St
Marion, KY 42064-1516
Mailing address
PO Box 386
Marion, KY 42064-0386
Phone (270) 965-5281
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74900010 | Medicaid | KY | |
| CG9059 | Other | KY | RAILROAD MEDICARE |
Other names 1
- Crittenden Health Systems
National Provider Directory
National Provider DirectoryNPI 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": "1330992000000",
"number": "1679516025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 386",
"city": "MARION",
"state": "KY",
"postal_code": "420640386",
"telephone_number": "270-965-5281",
"fax_number": "270-965-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 W GUM ST",
"city": "MARION",
"state": "KY",
"postal_code": "420641516",
"telephone_number": "270-965-5281"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRITTENDEN COUNTY HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-14",
"last_updated": "2012-03-06",
"status": "A",
"authorized_official_last_name": "HALES",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "270-965-1042",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "1621A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74900010",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CG9059",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Crittenden Health Systems",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Marion, KY
- Crittenden Community Hospital LLC
- Crittenden Community Hospital LLC (Family Practice Clinic)
- Crittenden County Hospital (Crittenden Health Systems)
- Crittenden County Hospital (Crittenden Health System)
- Crittenden County Hospital (Marion Home Health)
- Crittenden County Hospital (Crittenden Health Systems ER Physicians)
- Crittenden County Hospital (Crittenden Health Systems)
- Crittenden County Hospital (Marion Home Health-Medicaid Waiver)
- Crittenden County Hospital
- Crittenden County Schools
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.