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Organization

CASEY COUNTY HOSPITAL DISTRICT

Active
Parent organization
CASEY CO HOSPITAL DISTRICT
Other names
CASEY COUNTY HOSPITAL MEDICAL GROUP
Organization subpart
Yes

Provider details

NPI number
Legal business name
CASEY CO HOSPITAL DISTRICT
Authorized official
MR. REX A TUNGATE (CEO)
(606) 787-6275
Entity
Organization

Contact information

Practice address
187 WOLFORD AVE, LIBERTY, KY 42539-3278
(606) 787-6275
(606) 787-9717
Mailing address
187 WOLFORD AVE, LIBERTY, KY 42539-3278
(606) 787-6275
(606) 787-9717

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
31531
KY
207Q00000X
Family Medicine Physician
2085R0202X
Diagnostic Radiology Physician
28235
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
65941304
KY
Enumeration date
12/20/2007
Last updated
11/03/2017
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