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Organization
RUSSELL COUNTY HOSPITAL
Active
Organization
RUSSELL COUNTY HOSPITAL
Active
Parent organization
RUSSELL COUNTY HOSPITAL
Other names
RCH Physician Asst
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSSELL COUNTY HOSPITAL
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) 866-4141
Mailing address
PO BOX 1610, RUSSELL SPRINGS, KY 42642-1610
(270) 866-4141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NULL
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65942955
—
KY
Enumeration date
02/01/2019
Last updated
06/10/2024
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