Organization
RUSSELL COUNTY HOSPITAL
Active
Organization
RUSSELL COUNTY HOSPITAL
Active
Parent organization
RUSSELL COUNTY HOSPITAL
Other names
Primary Care Associates of Russell County
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSSELL COUNTY HOSPITAL
Authorized official
NEQUILA NORRIS (DIRECTOR OF FINANCE)
(270) 858-6936
Entity
Organization
Contact information
Practice address
92 JOE T PETTY DR, RUSSELL SPRINGS, KY 42642-8544
(270) 866-9359
Mailing address
PO BOX 1610, RUSSELL SPRINGS, KY 42642-1610
(270) 866-4141
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100339990
—
KY
Enumeration date
10/06/2017
Last updated
06/10/2024
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