Organization
GRAYSON COUNTY HOSPITAL FOUNDATION INC
Active
Parent organization
GRAYSON COUNTY HOSPITAL FOUNDATION INC
Other names
TLRMC REFERENCE LAB
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRAYSON COUNTY HOSPITAL FOUNDATION INC
Authorized official
STEPHEN MEREDITH (CEO)
(270) 259-9400
Entity
Organization
Contact information
Practice address
910 WALLACE AVE, LEITCHFIELD, KY 42754-2414
(270) 259-9400
(270) 259-9524
Mailing address
910 WALLACE AVE, LEITCHFIELD, KY 42754-2414
(270) 259-9400
(270) 259-9524
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000369642
ANTHEM PROVIDER NUMBER
KY
05
—
01006733
—
KY
Enumeration date
08/17/2006
Last updated
06/25/2008
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