Russell County Hospital

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

RUSSELL COUNTY HOSPITAL

Practice address

124 Dowell Rd
Russell Springs, KY 42642-4278

Phone

(270) 866-2016

NPI assigned

Jun 20, 2007

Last updated

Jun 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nequila Norris

Title

Director of Finance

Phone

(270) 858-6936

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 5

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

• Russell County Hospital

  • Critical Access Hospital
  • Russell Springs, KY
  • NPI 1013954437

  6204887243

  Same PAC ID
• Russell County Hospital

  • Rural Health Clinic/Center
  • Russell Springs, KY
  • NPI 1073936902

  6204887243

  Same PAC ID
• Russell County Hospital

  dba Primary Care Associates of Russell County

  • Rural Health Clinic/Center
  • Russell Springs, KY
  • NPI 1295245025

  6204887243

  Same PAC ID
• Russell County Hospital

  • Certified Registered Nurse Anesthetist
  • Russell Springs, KY
  • NPI 1437245842

  6204887243

  Same PAC ID
• Russell County Hospital

  dba Russell County Hospital Swing

  • Critical Access Hospital
  • Russell Springs, KY
  • NPI 1902963473

  6204887243

  Same PAC ID

Locations

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1679778377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1610",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426421610",
            "telephone_number": "270-866-4141",
            "fax_number": "270-866-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 DOWELL RD",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426424278",
            "telephone_number": "270-866-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "NEQUILA",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "270-858-6936"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37000882",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russell County Hospital
• Russell County Hospital
• Russell County Hospital (Primary Care Associates of Russell County)
• Russell County Hospital
• Russell County Hospital
• Russell County Hospital
• Russell County Hospital
• Russell County Hospital (Russell County Hospital Swing)
• Russell County Radiology, PSC (Imaging Associates of Russell County)
• Russell Springs Pharmacy

• Clinical Medical Laboratory in Russell Springs, KY
• Providers in Russell Springs, KY by specialty
• Clinical Medical Laboratory in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.