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NPI 1073567608

NPI 1073567608 : CUMBERLAND COUNTY HOSPITAL ASSOCIATION INC : BURKESVILLE, KY

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General NPI Number Information
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    NPI Number           |    1073567608
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    Entity Type          |    Organization 
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    Legal Business Name  |    CUMBERLAND COUNTY HOSPITAL ASSOCIATION INC 
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Dates
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    Enumeration Date     |    05/19/2006
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    Last Update Date     |    08/26/2025
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Provider Practice Location Address
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    Address Line         |    299 GLASGOW RD 
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    City                 |    BURKESVILLE
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    State                |    KY
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    Zip                  |    42717-9696
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    Country              |    US
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    Telephone            |    270-864-2511
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    Fax                  |    270-864-1307
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Provider Business Mailing Address
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    Address Line         |    299 GLASGOW RD P O BOX 280
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    City                 |    BURKESVILLE
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    State                |    KY
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    Zip                  |    42717-9696
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    Country              |    US
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    Telephone            |    270-864-2511
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    Fax                  |    270-864-1306
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     RICHARD  NEIKIRK 
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    Credential           |    
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    Telephone            |    270-864-2511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    600068
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    License Number State |    KY
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    600068
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    License Number State |    KY
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Taxonomy #3
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    600068
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    License Number State |    KY
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Taxonomy #4
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    Taxonomy Code        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    600068
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    License Number State |    KY
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Taxonomy #5
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    600068
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    License Number State |    KY
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Taxonomy #6
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    Taxonomy Code        |    2085N0700X
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    Taxonomy Name        |    Neuroradiology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    600068
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    License Number State |    KY
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Taxonomy #8
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    Taxonomy Code        |    275N00000X
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    Taxonomy Name        |    Medicare Defined Swing Bed Hospital Unit
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    License Number       |    600068
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    License Number State |    KY
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Taxonomy #9
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    Taxonomy Code        |    282N00000X
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    Taxonomy Name        |    General Acute Care Hospital
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    341600000X
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    Taxonomy Name        |    Ambulance
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    License Number       |    600068
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    License Number State |    KY
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Taxonomy #11
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #12
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #13
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    Taxonomy Code        |    282NC0060X
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    Taxonomy Name        |    Critical Access Hospital
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    License Number       |    600068
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    License Number State |    KY
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