Organization
GRAYSON COUNTY HOSPITAL FOUNDATION INC.
Active
Parent organization
GRAYSON COUNTY HOSPITAL FOUNDATION INC.
Other names
TWIN LAKES REGIONAL MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRAYSON COUNTY HOSPITAL FOUNDATION INC.
Authorized official
CYNTHIA R BAILEY (REIMBURSEMENT ANALYST)
(270) 259-1656
Entity
Organization
Contact information
Practice address
2902 DOLPHIN DR, ELIZABETHTOWN, KY 42701-7102
(270) 259-9405
Mailing address
910 WALLACE AVE, LEITCHFIELD, KY 42754-2414
(270) 259-1656
(270) 259-9536
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01006733
—
KY
Enumeration date
11/16/2018
Last updated
11/30/2018
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