Jane Todd Crawford Memorial Hospital, Inc.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

900193 Issued in KY

Legal business name

JANE TODD CRAWFORD MEMORIAL HOSPITAL, INC.

Doing business as

Jane Todd Primary Care

Practice address

704 Columbia Hwy
Greensburg, KY 42743-1118

Phone

(270) 932-5355

Fax

(270) 932-5590

NPI assigned

Feb 24, 2006

Last updated

Oct 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Rex A Tungate

Title

Ceo Administrator

Phone

(270) 932-4211

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jane Todd Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

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

• Jane Todd Crawford Memorial Hospital, Inc.

  dba Green County Primary Care

  • Rural Health Clinic/Center
  • Greensburg, KY
  • NPI 1144296658

  O20080613000060

  Same enrollment
• Jane Todd Crawford Memorial Hospital, Inc.

  dba Jane Todd Crawford Hospital Anesthetist Group

  • Anesthesiology Physician
  • Greensburg, KY
  • NPI 1154585289

  O20080613000060

  Same enrollment
• Jane Todd Crawford Memorial Hospital, Inc.

  • Emergency Medicine Physician
  • Greensburg, KY
  • NPI 1548476633

  O20080613000060

  Same enrollment

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Jane Todd Crawford Memorial Hospital, Inc.

  • Emergency Medicine Physician
  • Greensburg, KY
  • NPI 1548476633

  Member Of

  NPD member

Locations

Practitioners 2

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.

• Anastacio G Herrera Jr., M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Columbia, KY
  • NPI 1487655213
  NPD (past)
• Donald J. Weidler, M.D.

  • Internal Medicine Physician
  • Tompkinsville, KY
  • NPI 1477577518
  NPD (past)

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1891761300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 COLUMBIA HWY",
            "city": "GREENSBURG",
            "state": "KY",
            "postal_code": "427431118",
            "telephone_number": "270-932-5355",
            "fax_number": "270-932-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 COLUMBIA HWY",
            "city": "GREENSBURG",
            "state": "KY",
            "postal_code": "427431118",
            "telephone_number": "270-932-5355",
            "fax_number": "270-932-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE TODD CRAWFORD MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "TUNGATE",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO ADMINISTRATOR",
        "authorized_official_telephone_number": "270-932-4211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KY",
            "license": "900193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100030700",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jane Todd Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jane Todd Crawford Memorial Hospital, Inc. (Green County Pharmacy)
• Jane Todd Crawford Memorial Hospital, Inc.
• Jane Todd Crawford Memorial Hospital, Inc.
• Jane Todd Crawford Memorial Hospital, Inc.
• Jane Todd Crawford Memorial Hospital, Inc. (Jane Todd Primary Care)
• Jane Todd Hospital Radiological Associates,LLC
• Jason W Slinker DC PSC (Green River Chiropractic)
• Wesley Kevin Jenkins
• Cassie S Jessie, APRN
• Journey to Independent Living (Jil)

• Rural Health Clinic/Center in Greensburg, KY
• Providers in Greensburg, KY by specialty
• Rural Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.