NPIMap

Organization Active NPI

Crittenden County Hospital

Doing business as Marion Home Health-Medicaid Waiver

  • Home Health Agency
  • Marion, KY
National Provider Identifier
1841462223
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
150144 Issued in KY
Legal business name
CRITTENDEN COUNTY HOSPITAL
Doing business as
Marion Home Health-Medicaid Waiver
Practice address
520 West Gum St
Marion, KY 42064-0386
Phone
(270) 965-1042
Fax
(270) 965-1061
NPI assigned
Mar 26, 2008
Last updated
Dec 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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)CodeLicenseStatePrimary
Home Health Agency 251E00000X 150144 KY Primary

Addresses

Primary practice location

520 West Gum St
Marion, KY 42064-0386

Mailing address

520 West Gum St
Marion, KY 42064-0386
Phone (270) 965-1042

Other identifiers 1

IdentifierTypeStateIssuer
42001289MedicaidKY

Other names 1

  • MARION HOME HEALTH-MEDICAID WAIVER 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": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1841462223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "2008-03-26",
        "last_updated": "2011-12-12",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KY",
            "license": "150144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42001289",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARION HOME HEALTH-MEDICAID WAIVER",
            "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 Dec 12, 2011; 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.