Organization · Type 2 NPI

Casey County Hospital District

Emergency Medical Services (Emergency Medicine) Physician · Liberty, KY

NPI number 1649454067 Active

Practice location

187 Wolford Ave
Liberty, KY 42539-3278

Fax (606) 787-9717

Specialties and licenses

Taxonomy	Code	License
Emergency Medical Services (Emergency Medicine) Physician Primary	207PE0004X	31531 (KY)
Family Medicine Physician	207Q00000X	None listed
Diagnostic Radiology Physician	2085R0202X	28235 (KY)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

13 other providers at this address

NPI record

NPI: 1649454067
Entity type: Organization (Type 2)
Issued: Dec 20, 2007
Last updated: Nov 3, 2017
Status: Active
Subpart: Yes of Casey Co Hospital District

Other names

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Casey County Hospital Medical Group · doing business as

Authorized official

Mr. Rex A Tungate
CEO
(606) 787-6275

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1649454067

Casey County Hospital District's National Provider Identifier is 1649454067, issued on Dec 20, 2007. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Liberty, KY. The record was last updated on Nov 3, 2017.