Organization
T J SAMSON COMMUNITY HOSPITAL
Active
Parent organization
T J REGIONAL HEALTH, INC.
Other names
T J Samson Palliative Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
T J REGIONAL HEALTH, INC.
Authorized official
NEIL THORNBURY (CEO)
(270) 651-4159
Entity
Organization
Contact information
Practice address
1301 N RACE ST, GLASGOW, KY 42141-3454
(270) 651-4430
(270) 651-4862
Mailing address
PO BOX 645996, CINCINNATI, OH 45264-5996
(270) 651-4444
(270) 651-4862
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100253160
—
KY
05
—
7100253260
—
KY
05
—
7100731960
—
KY
01
—
K087580
MEDICARE
KY
Enumeration date
12/11/2012
Last updated
03/30/2023
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