Provider Demographics
NPI:1982837985
Name:ADAIR COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:ADAIR COUNTY HOSPITAL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:REX
Authorized Official - Middle Name:A
Authorized Official - Last Name:TUNGATE
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:270-384-4753
Mailing Address - Street 1:902 WESTLAKE DR
Mailing Address - Street 2:SUITE 107
Mailing Address - City:COLUMBIA
Mailing Address - State:KY
Mailing Address - Zip Code:42728-1149
Mailing Address - Country:US
Mailing Address - Phone:270-384-6477
Mailing Address - Fax:
Practice Address - Street 1:902 WESTLAKE DR
Practice Address - Street 2:SUITE 107
Practice Address - City:COLUMBIA
Practice Address - State:KY
Practice Address - Zip Code:42728-1149
Practice Address - Country:US
Practice Address - Phone:270-384-6477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-25
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY35724208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty