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Organization

CASEY COUNTY HOSPITAL DISTRICT

Active
Parent organization
CASEY COUNTY HOSPITAL DISTRICT
Other names
Casey County Family Practice
Organization subpart
Yes

Provider details

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

Contact information

Practice address
199 ADAMS ST, LIBERTY, KY 42539-3064
(606) 787-5044
(606) 787-0251
Mailing address
199 ADAMS ST, LIBERTY, KY 42539-3064
(606) 787-5044
(606) 787-0251

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100070150
KY
Enumeration date
08/27/2008
Last updated
08/23/2023
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