Healthcare Provider Details

I. General information

NPI: 1497668230
Provider Name (Legal Business Name): T J SAMSON COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 PARK ST # 3-7
BOWLING GREEN KY
42101-1742
US

IV. Provider business mailing address

PO BOX 645996
CINCINNATI OH
45264-5996
US

V. Phone/Fax

Practice location:
  • Phone: 270-783-3369
  • Fax: 270-780-0474
Mailing address:
  • Phone: 270-651-4444
  • Fax: 270-651-4892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: NEIL C THORNBURY
Title or Position: CEO
Credential:
Phone: 270-651-4159