Organization Active NPI

Crittenden County Hospital

  • Land Ambulance
  • Marion, KY
National Provider Identifier
1851376958
Registry record updated Dec 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1023 Issued in KY
Legal business name
CRITTENDEN COUNTY HOSPITAL
Practice address
520 W Gum St
Marion, KY 42064-1516
Phone
(270) 965-2770
Fax
(270) 965-2402
NPI assigned
Dec 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2017

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

Authorized official

Name
Ms. Misty K McKinney
Title
Accountant
Phone
(270) 965-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1023 KY Primary

Addresses

Primary practice location

520 W Gum St
Marion, KY 42064-1516

Mailing address

PO Box 589
Madisonville, KY 42431-5011
Phone (270) 824-8123

Other identifiers 5

IdentifierTypeStateIssuer
610397301OtherFEDERAL BLACK LUNG PROGRAM
000000378864OtherKYANTHEM BLUE CROSS
163030800OtherUS DEPARTMENT OF LABOR
55028021MedicaidKY
56003817MedicaidKY

National Provider Directory

National Provider Directory

Locations

250 Sturgis Rd
Marion, KY 42064
Phone (270) 965-2770

NPI Registry JSON

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513900800000",
    "number": "1851376958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424315011",
            "telephone_number": "270-824-8123",
            "fax_number": "270-824-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W GUM ST",
            "city": "MARION",
            "state": "KY",
            "postal_code": "420641516",
            "telephone_number": "270-965-2770",
            "fax_number": "270-965-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITTENDEN COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-12",
        "last_updated": "2017-12-22",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "270-965-1001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG PROGRAM",
            "identifier": "610397301",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000378864",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "163030800",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55028021",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56003817",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 22, 2017; 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.