NPIMap

Organization Active NPI

Russell County Hospital

Doing business as Russell County Hospital Swing

  • Critical Access Hospital
  • Russell Springs, KY
National Provider Identifier
1902963473
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
100529 Issued in KY
Legal business name
RUSSELL COUNTY HOSPITAL
Doing business as
Russell County Hospital Swing
Practice address
153 Dowell Rd
Russell Springs, KY 42642-4579
Phone
(270) 866-4753
Fax
(270) 866-7148
NPI assigned
Jan 3, 2007
Last updated
Jun 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Mrs. Nequila Norris
Title
Dir of Finance
Phone
(270) 858-6936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 100529 KY Primary

Addresses

Primary practice location

153 Dowell Rd
Russell Springs, KY 42642-4579

Mailing address

PO Box 1610
Russell Springs, KY 42642-1610
Phone (270) 866-4753

Other names 1

  • RUSSELL COUNTY HOSPITAL SWING Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071213000183 KY Part A Provider - Critical Access Hospital 6204887243 1 other NPI on this enrollment
Practice locations: Russell Springs, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902963473. Details of each certification follow.

Hospital certification: CCN 18Z330

Legal name
RUSSELL COUNTY HOSPITAL
Doing business as
RUSSELL COUNTY HOSPITAL SWING
Organization structure
CorporationNon-profit
Incorporated
May 31, 1979 in KY
Enrollment address
153 Dowell Rd
Russell Springs, KY 42642-4579
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
RCH Medical Arts Lab9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Neal Dalton Individual Operational/Managerial Control Jan 1, 2015
Winfrey Bates Individual Corporate Director Jan 1, 2019
Nequila Norris Individual Corporate DirectorDirector of Finance Oct 25, 2023

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1902963473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1610",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426421610",
            "telephone_number": "270-866-4753",
            "fax_number": "270-866-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 DOWELL RD",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426424579",
            "telephone_number": "270-866-4753",
            "fax_number": "270-866-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "NEQUILA",
        "authorized_official_title_or_position": "DIR OF FINANCE",
        "authorized_official_telephone_number": "270-858-6936",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KY",
            "license": "100529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RUSSELL COUNTY HOSPITAL SWING",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RUSSELL COUNTY HOSPITAL SWING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Russell Springs, KY

Sources for this page

Verify at the official NPI Registry.