NPIMap

Organization Active NPI

Wayne County Hospital, Inc

  • Critical Access Hospital
  • Monticello, KY
National Provider Identifier
1871548016
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
600074 Issued in KY
Legal business name
WAYNE COUNTY HOSPITAL, INC
Practice address
166 Hospital St
Monticello, KY 42633-2416
Phone
(606) 348-9343
Fax
(606) 340-3258
NPI assigned
May 24, 2006
Last updated
Apr 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Authorized official

Name
Mr. John Joseph Murrell
Title
Ceo
Phone
(606) 348-9343

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 600074 KY Primary
Nurse Practitioner 363L00000X 3003023 KY
Family Nurse Practitioner 363LF0000X 3006854 KY
Family Nurse Practitioner 363LF0000X 3002658 KY
Family Nurse Practitioner 363LF0000X 3010334 KY
Certified Registered Nurse Anesthetist 367500000X 2657A KY
Emergency Medicine Physician 207P00000X NU
Family Medicine Physician 207Q00000X 38039 KY
Family Medicine Physician 207Q00000X 02809 KY
Internal Medicine Physician 207R00000X 35830 KY
Surgery Physician 208600000X NU
Hospitalist Physician 208M00000X 35830 KY
Hospitalist Physician 208M00000X 38039 KY
Hospitalist Physician 208M00000X 02809 KY

Addresses

Primary practice location

166 Hospital St
Monticello, KY 42633-2416

Mailing address

166 Hospital St
Monticello, KY 42633-2430
Phone (606) 348-9343

Other practice location 1

1 S Creek Dr Ste 112
Monticello, KY 42633-9472
Phone (606) 348-3341

Other identifiers 12

IdentifierTypeStateIssuer
000000057551OtherKYANTHEM-RURAL HEALTH CLINI
74900994MedicaidKY
65923542MedicaidKY
000000076139OtherKYANTHEM BC
000000382062OtherKYANTHEM-EMERGENCY MEDICIN
01021781MedicaidKY
5000047OtherKYUNITED HEALTH CARE
000000054708OtherKYANTHEM BC
000000054709OtherKYANTHEM- SKILLED NURSING
000000108553OtherKYANTHEM BC
3500047OtherKYUNITED HEALTHCARE
000000061965OtherKYANTHEM BC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040301000047 KY Part B Supplier - Clinic/Group Practice 7113814740 Receives reassigned benefits from 27 practitioners
2 other NPIs on this enrollment
Practice locations: Monticello, KY
O20071117000043 KY Part A Provider - Critical Access Hospital 7113814740 Practice locations: Monticello, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871548016. Details of each certification follow.

Hospital certification: CCN 181321

Legal name
WAYNE COUNTY HOSPITAL INC
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 31, 2004
Last certification
Dec 27, 2016
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 16, 1971 in KY
Enrollment address
166 Hospital St
Monticello, KY 42633-2416
Hospital subgroups
Acute care, Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Wayne County HospitalCCN 181321 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John J Murrell Individual Corporate OfficerCeo Apr 2, 2014
Operational/Managerial ControlCeo Apr 2, 2012
David Phillips Individual Corporate DirectorBoard Member Jun 1, 2024
Anne Sawyer Individual Corporate OfficerCfo Oct 30, 2007
Larry Bates Individual Corporate DirectorBoard Member Aug 27, 1984
Danny Adams Individual Corporate DirectorBoard Member Aug 1, 2012
Jamie Reagan Individual Corporate DirectorBoard Member Aug 16, 2013
Gordon Crowley Individual Corporate DirectorBoard Member Sep 23, 2008

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

Affiliated clinicians 86

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 86

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1871548016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 HOSPITAL ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426332430",
            "telephone_number": "606-348-9343",
            "fax_number": "606-340-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 HOSPITAL ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426332416",
            "telephone_number": "606-348-9343",
            "fax_number": "606-340-3258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 S Creek Dr Ste 112",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "KY",
            "postal_code": "426339472",
            "country_code": "US",
            "telephone_number": "606-348-3341",
            "fax_number": "606-348-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WAYNE COUNTY HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "MURRELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "606-348-9343",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KY",
            "license": "600074",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3003023",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006854",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3002658",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010334",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "2657A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "38039",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02809",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "35830",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "35830",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "38039",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "02809",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-RURAL HEALTH CLINI",
            "identifier": "000000057551",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74900994",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65923542",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC",
            "identifier": "000000076139",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-EMERGENCY MEDICIN",
            "identifier": "000000382062",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01021781",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "5000047",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC",
            "identifier": "000000054708",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM- SKILLED NURSING",
            "identifier": "000000054709",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC",
            "identifier": "000000108553",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3500047",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC",
            "identifier": "000000061965",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, KY

Sources for this page

Verify at the official NPI Registry.