# CLINTON COUNTY HOSPITAL, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316939689
- **Authorized official:** MR. J. D. MULLINS (ADMINISTRATOR)
- **Authorized official phone:** (606) 387-3600

## Contact information

- **Practice address:** 723 BURKESVILLE RD, ALBANY, KY 42602-1654
- **Practice address phone:** (606) 387-6421
- **Practice address fax:** (606) 387-8550
- **Mailing address:** 723 BURKESVILLE RD, ALBANY, KY 42602-1654
- **Mailing address phone:** (606) 387-6421
- **Mailing address fax:** (606) 387-8550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 100078 | KY | Yes |

## Other

- **Enumeration date:** 08/22/2005
- **Last updated:** 06/04/2009

## 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 |