Organization
CASEY COUNTY HOSPITAL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REX A TUNGATE (CEO ADMINITSTRATOR)
(606) 787-6275
Entity
Organization
Contact information
Practice address
187 WOLFORD AVE, LIBERTY, KY 42539-3187
(606) 787-6275
(606) 787-0251
Mailing address
187 WOLFORD AVE, LIBERTY, KY 42539-3187
(606) 787-6275
(606) 787-0251
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
282NC0060X
Critical Access Hospital
Primary
600060
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01000280
—
KY
05
—
65941304
—
KY
Enumeration date
02/09/2006
Last updated
02/26/2019
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