Provider Demographics
NPI:1679220149
Name:HARDIN COUNTY GENERAL HOSPITAL
Entity Type:Organization
Organization Name:HARDIN COUNTY GENERAL HOSPITAL
Other - Org Name:HARDIN COUNTY GENERAL HOSPITAL AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-285-6634
Mailing Address - Street 1:PO BOX 2467
Mailing Address - Street 2:
Mailing Address - City:ROSICLARE
Mailing Address - State:IL
Mailing Address - Zip Code:62982-2467
Mailing Address - Country:US
Mailing Address - Phone:618-285-6634
Mailing Address - Fax:618-285-3564
Practice Address - Street 1:6 FERRELL RD
Practice Address - Street 2:
Practice Address - City:ROSICLARE
Practice Address - State:IL
Practice Address - Zip Code:62982-1052
Practice Address - Country:US
Practice Address - Phone:618-285-6634
Practice Address - Fax:618-285-3564
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARDIN COUNTY GENERAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-04
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport