Healthcare Provider Details

I. General information

NPI: 1487706578
Provider Name (Legal Business Name): TRIGG COUNTY HOSPITAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 10/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

252 MAIN ST
CADIZ KY
42211-9153
US

IV. Provider business mailing address

PO BOX 312
CADIZ KY
42211-0312
US

V. Phone/Fax

Practice location:
  • Phone: 270-522-2548
  • Fax: 270-522-1871
Mailing address:
  • Phone: 270-522-2548
  • Fax: 270-522-1871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number150167
License Number StateKY

VIII. Authorized Official

Name: MR. JOHN SUMMER
Title or Position: CEO
Credential:
Phone: 270-522-3215