Organization
GRAYSON COUNTY HOSPITAL FOUNDATION INC
Active
Parent organization
GRAYSON COUNTY HOSPITAL FOUNDATION
Other names
TWIN LAKES REGIONAL MEDICAL CENTER SWING
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRAYSON COUNTY HOSPITAL FOUNDATION
Authorized official
STEPHEN L MEREDITH (CEO)
(270) 259-9400
Entity
Organization
Contact information
Practice address
910 WALLACE AVE, LEITCHFIELD, KY 42754-1418
(270) 259-9400
Mailing address
910 WALLACE AVE, LEITCHFIELD, KY 42754-1418
(270) 259-9400
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
100151
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054566
ANTHEM
KY
05
—
12700449
—
KY
Enumeration date
06/01/2005
Last updated
07/10/2007
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