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 (PRACTICE MANAGER)
(502) 732-3278
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) 732-3272
(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
05/11/2021
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