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Organization
CLINTON COUNTY HOSPITAL, INC.
Active
Organization
CLINTON COUNTY HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J. D. MULLINS (ADMINISTRATOR)
(606) 387-3600
Entity
Organization
Contact information
Practice address
723 BURKESVILLE RD, ALBANY, KY 42602-1654
(606) 387-6421
(606) 387-8550
Mailing address
723 BURKESVILLE RD, ALBANY, KY 42602-1654
(606) 387-6421
(606) 387-8550
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
100078
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054951
BLUE CROSS BLUE SHIELD
KY
05
—
01002427
—
KY
01
—
030644000
BLACK LUNG
KY
01
—
500-00062
UNITED HEALTHCARE
KY
01
—
61101
HUMANA
KY
01
—
61124
BLUEGRASS FAMILY
KY
01
—
9388
TENNCARE
KY
Enumeration date
08/22/2005
Last updated
06/04/2009
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