Organization
GRAYSON COUNTY HOSPITAL FOUNDATION INC
Active
Parent organization
GRAYSON COUNTY HOSPITAL FOUNDATION
Other names
TWIN LAKES REGIONAL MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRAYSON COUNTY HOSPITAL FOUNDATION
Authorized official
CYNTHIA R BAILEY (REIMBURSEMENT ANALYST)
(270) 259-1656
Entity
Organization
Contact information
Practice address
910 WALLACE AVE, LEITCHFIELD, KY 42754-1418
(270) 259-9400
(270) 259-9524
Mailing address
910 WALLACE AVE, LEITCHFIELD, KY 42754-1418
(270) 259-9400
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
282N00000X
General Acute Care Hospital
Primary
100151
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054565
ANTHEM PROVIDER #
KY
05
—
01006733
—
KY
01
—
1048799
PASSPORT
KY
01
—
2432221000
PASSPORT ADVANTAGE
KY
05
—
4500270600
—
KY
05
—
4588851800
—
KY
Enumeration date
06/01/2005
Last updated
02/19/2019
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