NPIMap

Organization Active NPI

Crittenden County Hospital

Doing business as Crittenden Health Systems ER Physicians

  • Emergency Medicine Physician
  • Marion, KY
National Provider Identifier
1801069588
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
CRITTENDEN COUNTY HOSPITAL
Doing business as
Crittenden Health Systems ER Physicians
Practice address
520 West Gum St
Marion, KY 42064-0386
Phone
(270) 965-1042
Fax
(270) 965-1061
NPI assigned
Apr 2, 2008
Last updated
Apr 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Authorized official

Name
Misty Kay McKinney
Title
Controller
Phone
(270) 965-1001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary
Podiatrist 213E00000X

Addresses

Primary practice location

520 West Gum St
Marion, KY 42064-0386

Mailing address

PO Box 386
Marion, KY 42064-0386
Phone (270) 965-1042

Other identifiers 2

IdentifierTypeStateIssuer
65938235MedicaidKY
0102OtherKYMEDICARE PROVIDER #

Other names 1

  • Crittenden Health Systems ER Physicians Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Salem Nursing Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1801069588",
    "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": "270-965-1042",
            "fax_number": "270-965-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 WEST GUM ST",
            "city": "MARION",
            "state": "KY",
            "postal_code": "420640386",
            "telephone_number": "270-965-1042",
            "fax_number": "270-965-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITTENDEN COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "270-965-1001"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65938235",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "0102",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crittenden Health Systems ER Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crittenden Health Systems ER Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.