Adair County Hospital District
Organization Active NPI Rural Health Clinic/Center · Edmonton, KY
NPI 1699740647 · NPPES record last updated Nov 6, 2015
Key facts
- NPI
- 1699740647
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- 900028 (KY)
- Legal business name
- ADAIR COUNTY HOSPITAL DISTRICT
- Practice address
- 903 W Stockton St
Edmonton, KY 42129-8129 - Phone
- (270) 432-5782
- Fax
- (270) 432-0001
- NPI assigned
- Feb 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Neal M. Gold
- Title
- Ceo
- Phone
- (270) 384-4753
Change of ownership 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Feb 11, 2016 | Change of Ownership |
T J Health Edmonton |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 900028 | KY | Yes |
Addresses
Primary practice location
903 W Stockton St
Edmonton, KY 42129-8129
Mailing address
903 W Stockton St
Edmonton, KY 42129-8129
Phone (270) 432-5782
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65909905 | Medicaid | KY |
Other names
- Edmonton Primary Care
Other providers in Edmonton, KY
- Khabeer Abdul
- Adair County Hospital District
- Adas
- Assocaites in Pediatric Therapy LLC
- Stephanie Barnes
- Barren River District Health Department
- Steven A Betts-Jimenez
All providers in Edmonton, KY · Rural Health Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2015. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.