Organization
JANE TODD CRAWFORD MEMORIAL HOSPITAL, INC.
Active
Other names
Green County Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REX A TUNGATE (CEO ADMINISTRATOR)
(270) 384-4753
Entity
Organization
Contact information
Practice address
310 INDUSTRIAL PARK RD, GREENSBURG, KY 42743-1429
(270) 299-2286
(270) 299-2157
Mailing address
310 INDUSTRIAL PARK RD, GREENSBURG, KY 42743-1429
(270) 299-2286
(270) 299-2157
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
900194
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100030790
—
KY
Enumeration date
02/24/2006
Last updated
09/16/2016
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