Organization Active NPI

Caverna Memorial Hospital, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Horse Cave, KY
National Provider Identifier
1821036401
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
600065 Issued in KY
Legal business name
CAVERNA MEMORIAL HOSPITAL, INC
Practice address
1501 S Dixie St
Horse Cave, KY 42749-1480
Phone
(270) 786-2191
Fax
(270) 786-1557
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Authorized official

Name
Mr. Alan Alexander
Title
Ceo
Phone
(270) 786-2191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 600065 KY Primary

Addresses

Primary practice location

1501 S Dixie St
Horse Cave, KY 42749-1480

Mailing address

1501 S Dixie St
Horse Cave, KY 42749-1480
Phone (270) 786-2191

Other identifiers 1

IdentifierTypeStateIssuer
12700027MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Bowling Green Warren County Community Hospital42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1821036401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S DIXIE ST",
            "city": "HORSE CAVE",
            "state": "KY",
            "postal_code": "427491480",
            "telephone_number": "270-786-2191",
            "fax_number": "270-786-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S DIXIE ST",
            "city": "HORSE CAVE",
            "state": "KY",
            "postal_code": "427491480",
            "telephone_number": "270-786-2191",
            "fax_number": "270-786-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVERNA MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-786-2191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "KY",
            "license": "600065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12700027",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Horse Cave, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.