Active NPI
Crittenden County Hospital
- Land Ambulance
- Marion, KY
National Provider Identifier
1851376958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1023
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 610397301 | Other | FEDERAL BLACK LUNG PROGRAM | |
| 000000378864 | Other | KY | ANTHEM BLUE CROSS |
| 163030800 | Other | US DEPARTMENT OF LABOR | |
| 55028021 | Medicaid | KY | |
| 56003817 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
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.