Organization
RUSSELL COUNTY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NEQUILA NORRIS (DIRECTOR OF FINANCE)
(270) 858-6936
Entity
Organization
Contact information
Practice address
153 DOWELL RD, RUSSELL SPRINGS, KY 42642-4579
(270) 866-4141
(270) 866-7148
Mailing address
PO BOX 1610, RUSSELL SPRINGS, KY 42642-1610
(270) 866-4141
(270) 866-7148
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74900895
—
KY
Enumeration date
10/04/2006
Last updated
06/10/2024
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