MEDICARE: ADAIR COUNTY HOSPITAL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1396992970
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAIR COUNTY HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	902 WESTLAKE DR
Second Line	:	SUITE 101
City	:	COLUMBIA
State	:	KY
Zip	:	42728-1149
Country	:	US
Telephone Number	:	270-384-4753
Fax Number	:	270-385-9123

Provider Business Practice Location Address
First Line	:	902 WESTLAKE DR
Second Line	:	SUITE 101
City	:	COLUMBIA
State	:	KY
Zip	:	42728-1149
Country	:	US
Telephone Number	:	270-384-4753
Fax Number	:	270-385-9123

Authorized Official
Title or Position	:	CEO
Name	:	MR. NEAL M. GOLD
Credential	:
Telephone Number	:	270-384-4753

Provider Enumeration Date	:	08/26/2008
Last Update Date	:	11/06/2015

Similar Medicare Providers

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Practice Location Address:

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1982837985 — ADAIR COUNTY HOSPITAL DISTRICT
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Practice Location Address:

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1235595653 — T J HEALTH COLUMBIA INC
Practice Location Address:

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1427549559 — PATRICIA L DOOLIN APRN, FNP-C
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1548754633 — ERIC W TOWNSEND APRN
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Directions to “ADAIR COUNTY HOSPITAL DISTRICT ” Practice Location

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