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NPI Code Detail

MEDICARE: T J SAMSON COMMUNITY HOSPITAL

MEDICARE: T J SAMSON COMMUNITY HOSPITAL
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
1282N00000XGeneral Acute Care Hospital100016KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000054533OTHERKYANTHEM

General Provider Information

NPI Number : 1770581894
Entity Type Code : Organization
Provider Name (Legal Business Name) : T J SAMSON COMMUNITY HOSPITAL
Provider Business Mailing Address
First Line : PO BOX 645996
Second Line :
City : CINCINNATI
State : OH
Zip : 45264-5996
Country : US
Telephone Number : 270-651-4444
Fax Number : 270-651-4892
Provider Business Practice Location Address
First Line : 1301 N RACE ST
Second Line :
City : GLASGOW
State : KY
Zip : 42141-3454
Country : US
Telephone Number : 270-651-4444
Fax Number : 270-651-4892
Authorized Official
Title or Position : CEO
Name : NEIL THORNBURY
Credential :
Telephone Number : 270-651-4159
Provider Enumeration Date : 07/12/2005
Last Update Date : 03/30/2023

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1982605465 — DR. AMELIA R KISER MD
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1760475925 — T J SAMSON COMMUNITY HOSPITAL
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1689660169 — RICHARD L PARNELL CRNA
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1477542942 — KEVIN LYN BURNER M.D.
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1730155003 — STEVEN HOUSE MD
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Directions to “T J SAMSON COMMUNITY HOSPITAL ” Practice Location

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