Organization
JANE TODD CRAWFORD MEMORIAL HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REX A TUNGATE III (CEO, ADMINISTRATOR)
(270) 932-4211
Entity
Organization
Contact information
Practice address
290 INDUSTRIAL PARK RD., GREENSBURG, KY 42743
(270) 932-4211
(270) 932-3504
Mailing address
290 INDUSTRIAL PARK RD., GREENSBURG, KY 42743
(270) 932-4211
(270) 932-3504
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
600077
KY
2085R0202X
Diagnostic Radiology Physician
600077
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100029970
—
KY
Enumeration date
05/15/2007
Last updated
12/22/2022
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