Provider Demographics
NPI:1457584856
Name:CUMBERLAND COUNTY HOSPITAL ASSOCIATION INC.
Entity Type:Organization
Organization Name:CUMBERLAND COUNTY HOSPITAL ASSOCIATION INC.
Other - Org Name:FLOWERS RURAL HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:NEIKIRK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-864-2511
Mailing Address - Street 1:299 GLASGOW RD
Mailing Address - Street 2:
Mailing Address - City:BURKESVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42717-9696
Mailing Address - Country:US
Mailing Address - Phone:270-864-2511
Mailing Address - Fax:270-864-1306
Practice Address - Street 1:333 KEEN ST
Practice Address - Street 2:
Practice Address - City:BURKESVILLE
Practice Address - State:KY
Practice Address - Zip Code:42717-7682
Practice Address - Country:US
Practice Address - Phone:270-864-3371
Practice Address - Fax:270-864-5667
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CUMBERLAND COUNTY HOSPITAL ASSOCIATION INC,
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-01
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health