# RUSSELL COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RUSSELL COUNTY HOSPITAL
- **Other names:** RCH Physician Asst
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902361165
- **Legal business name:** RUSSELL COUNTY HOSPITAL
- **Authorized official:** NEQUILA NORRIS (DIRECTOR OF FINANCE)
- **Authorized official phone:** (270) 858-6936

## Contact information

- **Practice address:** 153 DOWELL RD, RUSSELL SPRINGS, KY 42642-4579
- **Practice address phone:** (270) 866-4141
- **Mailing address:** PO BOX 1610, RUSSELL SPRINGS, KY 42642-1610
- **Mailing address phone:** (270) 866-4141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 02/01/2019
- **Last updated:** 06/10/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 65942955 | — | KY |