Organization
CCMH CORPORATION
Active
Organization
CCMH CORPORATION
Active
Other names
Carroll County Memorial Hospital Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA TOMLINSON (DIRECTOR OF CLINICAL SERVICES)
(502) 732-3243
Entity
Organization
Contact information
Practice address
309 11TH ST, CARROLLTON, KY 41008-1435
(502) 732-3272
(502) 732-3284
Mailing address
309 11TH ST, CARROLLTON, KY 41008-1435
(502) 732-3280
(502) 732-3284
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
282NR1301X
Rural Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000526902
ANTHEM
KY
01
—
50014319
PASSPORT
KY
05
—
7100045310
—
KY
Enumeration date
04/13/2007
Last updated
06/15/2026
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