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Organization Active NPI

Wayne County Hospital, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Monticello, KY
National Provider Identifier
1992744536
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
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
Jun 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 02809 KY
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 38039 KY
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 35830 KY
Medicare Defined Swing Bed Hospital Unit 275N00000X 600074 KY Primary
Critical Access Hospital 282NC0060X 600074 KY

Addresses

Primary practice location

166 Hospital St
Monticello, KY 42633-2416

Mailing address

166 Hospital St
Monticello, KY 42633-2416
Phone (606) 348-9343

Other identifiers 3

IdentifierTypeStateIssuer
12700118MedicaidKY
000000076139OtherKYANTHEM-HOSPITAL
000000054709OtherKYANTHEM-SWINGBED

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220803003109 KY Part A Provider - Critical Access Hospital 7113814740 Practice locations: Monticello, KY

Hospital certification: CCN 18Z321

Legal name
WAYNE COUNTY HOSPITAL INC
Organization structure
CorporationNon-profit
Incorporated
Feb 16, 1971 in KY
Enrollment address
166 Hospital St
Monticello, KY 42633-2430
Hospital Swing-Bed Unit

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).

National Provider Directory

National Provider Directory

Locations

1225 W Columbia Ave
Ste 2
Monticello, KY 42633
Phone (606) 348-5883

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, 2012
Operational/Managerial ControlCeo Apr 2, 2012
Anita Hopper Individual Corporate DirectorBoard Member Jul 1, 1998
Anne Sawyer Individual Corporate OfficerCfo Sep 1, 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 - Treasurer 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.

View all 28

Affiliated clinicians 3

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": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1992744536",
    "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": "426332416",
            "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": [],
    "basic": {
        "organization_name": "WAYNE COUNTY HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02809",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "38039",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "35830",
            "primary": false
        },
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "KY",
            "license": "600074",
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KY",
            "license": "600074",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12700118",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-HOSPITAL",
            "identifier": "000000076139",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-SWINGBED",
            "identifier": "000000054709",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, KY

Sources for this page

Verify at the official NPI Registry.