Organization
JANE TODD CRAWFORD MEMORIAL HOSPITAL, INC.
Active
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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