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Organization
RUSSELL COUNTY HOSPITAL
Active
Organization
RUSSELL COUNTY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEQUILA NORRIS (DIRECTOR OF FINANCE)
(270) 858-6936
Entity
Organization
Contact information
Practice address
153 DOWELL RD, RUSSELL SPRINGS, KY 42642-4579
(270) 866-8867
(270) 866-7148
Mailing address
PO BOX 1610, RUSSELL SPRINGS, KY 42642-1610
(270) 866-8867
(270) 866-7148
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
600081
KY
207Q00000X
Family Medicine Physician
600081
KY
207R00000X
Internal Medicine Physician
600081
KY
208600000X
Surgery Physician
600081
KY
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
600081
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65942955
—
KY
Enumeration date
10/04/2006
Last updated
06/10/2024
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