# T J SAMSON COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** T J REGIONAL HEALTH, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760475925
- **Legal business name:** T J REGIONAL HEALTH, INC.
- **Authorized official:** NEIL THORNBURY (CEO)
- **Authorized official phone:** (270) 651-4159

## Contact information

- **Practice address:** 1301 N RACE ST, GLASGOW, KY 42141-3454
- **Practice address phone:** (270) 651-4444
- **Practice address fax:** (270) 651-4892
- **Mailing address:** PO BOX 645996, CINCINNATI, OH 45264-5996
- **Mailing address phone:** (270) 651-4444
- **Mailing address fax:** (270) 651-4892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100761 | KY | Yes |

## Other

- **Enumeration date:** 08/23/2005
- **Last updated:** 03/30/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000054533 | ANTHEM | KY |