Healthcare Provider Details

I. General information

NPI: 1013727882
Provider Name (Legal Business Name): CRITTENDEN COMMUNITY HOSPITAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2025
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 N MAIN ST
STURGIS KY
42459-1629
US

IV. Provider business mailing address

417 N MAIN ST
STURGIS KY
42459-1629
US

V. Phone/Fax

Practice location:
  • Phone: 270-374-6400
  • Fax:
Mailing address:
  • Phone: 270-374-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LS0200X
TaxonomySchool Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DARREL MORRIS
Title or Position: COO
Credential:
Phone: 918-527-1234