Organization
GRAYSON COUNTY HOSPITAL FOUNDATION INC
Active
Parent organization
GRAYSON COUNTY HOSPITAL FOUNDATION
Other names
TWIN LAKES EMERGENCY
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRAYSON COUNTY HOSPITAL FOUNDATION
Authorized official
STEPHEN L MEREDITH (CEO)
(270) 259-9400
Entity
Organization
Contact information
Practice address
910 WALLACE AVE, LEITCHFIELD, KY 42754-1418
(270) 259-9400
Mailing address
910 WALLACE AVE, LEITCHFIELD, KY 42754-1418
(270) 259-9400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
NA
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000057018
ANTHEM
KY
01
—
24428030000
PASSPORT ADVANTAGE
KY
01
—
50001188
PASSPORT
KY
05
—
65930950
—
KY
Enumeration date
05/27/2005
Last updated
07/10/2007
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