Organization
JANE TODD CRAWFORD MEMORIAL HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REX A TUNGATE (CEO, ADMINISTRATOR)
(270) 932-4211
Entity
Organization
Contact information
Practice address
202-206 MILBY STREET, GREENSBURG, KY 42743-1136
(270) 932-4211
(270) 299-2041
Mailing address
PO BOX 220, GREENSBURG, KY 42743-0220
(270) 932-4211
(270) 299-2041
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
600077
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01014232
—
KY
Enumeration date
09/30/2010
Last updated
10/06/2010
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