Organization
JANE TODD CRAWFORD MEMORIAL HOSPITAL, INC.
Active
Other names
Jane Todd Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REX A TUNGATE (CEO ADMINISTRATOR)
(270) 932-4211
Entity
Organization
Contact information
Practice address
704 COLUMBIA HWY, GREENSBURG, KY 42743-1118
(270) 932-5355
(270) 932-5590
Mailing address
704 COLUMBIA HWY, GREENSBURG, KY 42743-1118
(270) 932-5355
(270) 932-5590
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
900193
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100030700
—
KY
Enumeration date
02/24/2006
Last updated
10/31/2012
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