Organization
CCMH CORPORATION
Active
Other names
Carroll County Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA TOMLINSON (DIRECTOR OF CLINICAL SERVICES)
(502) 732-3243
Entity
Organization
Contact information
Practice address
309 11TH ST, CARROLLTON, KY 41008-1435
(502) 732-3263
(502) 663-0343
Mailing address
309 11TH ST, CARROLLTON, KY 41008-1435
(502) 732-3278
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000515904
BLUE CROSS
KY
01
—
2833122000
PASSPORT ADVANTAGE
KY
01
—
50014276
PASSPORT
KY
05
—
7100004680
—
KY
Enumeration date
04/03/2007
Last updated
05/21/2024
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