T J SAMSON COMMUNITY HOSPITAL (NPI# 1538116934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538116934 |
| Entity Type | Organization |
| Organization Name | T J SAMSON COMMUNITY HOSPITAL |
| Other Organization Name | T J KIDNEY CARE |
| Practice Address |
310 N L Rogers Wells Blvd Glasgow KY 42141-1300 |
| Mailing Address |
1301 N Race St Glasgow KY 42141-3454 |
| Practice Telephone | 2706595580 |
| Practice Fax Number | 2706595582 |
| Mailing Telephone | 2706514444 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2019-02-05 |
| Authorized Official Name | NEIL THORNBURY (CEO) |
| Authorized Official Telephone | 2706514159 |
| Is Organization Subpart | Y |
| Parent Organization Name | T J REGIONAL HEALTH, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
300153 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 39000518 | 05 |
| Other Name | Type Code |
|---|---|
| Dialysis Center | Other Name - Individual/Organization |
| T J Kidney Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508903071 | T J Samson Community Hospital | Clinic/Center | 1214 N Race St Ste A, Glasgow, KY 42141-3462 | 2007-01-31 |
| 1952448433 | T J Samson Community Hospital | Clinic/Center | 1330 N Race St Ste A, Glasgow, KY 42141-3465 | 2007-01-31 |
| 1770581894 | T J Samson Community Hospital | General Acute Care Hospital | 1301 N Race St, Glasgow, KY 42141-3454 | 2005-07-12 |
| 1073060059 | T J Samson Community Hospital | Pharmacy | 1301 N Race St, Glasgow, KY 42141-3454 | 2016-09-07 |
| 1629429360 | T J Samson Community Hospital | Clinic/Center | 440 E Happy Valley St, Cave City, KY 42127-8844 | 2016-06-23 |
| 1356729099 | T J Samson Community Hospital | Clinic/Center | 800 N Main St Ste B, Tompkinsville, KY 42167-1037 | 2015-05-14 |
| 1043604812 | T J Samson Community Hospital | Pharmacy | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2015-03-19 |
| 1033458120 | T J Samson Community Hospital | Durable Medical Equipment & Medical Supplies | 310 N L Roger Wls Blvd, Glasgow, KY 42141-1300 | 2013-02-08 |
| 1922343300 | T J Samson Community Hospital | Family Medicine | 1301 N Race St, Glasgow, KY 42141-3454 | 2012-12-11 |
| 1891011524 | T J Samson Community Hospital | Clinic/Center | 1301 N Race St, Glasgow, KY 42141-3454 | 2010-04-20 |
| Street Address |
310 N L ROGERS WELLS BLVD |
| City | GLASGOW |
| State | KY |
| Zip Code | 42141-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407850134 | Michael A Saridakis | Surgery | 310 N L Rogers Wells Blvd, Suite 103, Glasgow, KY 42141-1300 | 2005-06-10 |
| 1851938807 | Lauren M Legrand | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2019-12-09 |
| 1366001885 | Ryan B Kerrins | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2019-06-08 |
| 1851864797 | Heather C Bull | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2019-01-03 |
| 1174043582 | Jessica Lauren Miller | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2017-06-27 |
| 1750819967 | Marissa Howard | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2017-06-01 |
| 1447783634 | Barbara G Kelly | Family Medicine | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2017-04-05 |
| 1245761030 | Laura Elizabeth Brooks | Pediatrics | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2017-03-23 |
| 1528511979 | Sydni Paige Burton | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2016-08-02 |
| 1568821304 | Megan L Buntin | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2016-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710505912 | Adriene Elizabeth Wilson | Nurse Practitioner | 310 N. L. Rogers Blvd., Glasgow, KY 42141 | 2020-07-14 |
| 1649896648 | Katrina Antonette Casanova Tinoco | Student in an Organized Health Care Education/Training Program | 1325 North Race St., University of Louisville/glasgow, Glasgow, KY 42141 | 2020-06-25 |
| 1245744630 | Town and Country Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 742a East Main Street, Glasgow, KY 42141 | 2017-11-22 |
| 1821413022 | Russell England | Nurse Practitioner | 370 Beaver Mound Circle, Glasgow, KY 42141 | 2014-02-25 |
| 1447507439 | Rehabcare | Skilled Nursing Facility | 109homewoodblvd, Glasgow, KY 42141 | 2012-08-08 |
| 1578847778 | Alexander Kwadwo Somuah | Pharmacist | 1001 W. Main St, Glasgow, KY 42141 | 2011-10-06 |
| 1518240522 | William David Wiley | Pharmacist | 1001 West Main St., Glasgow, KS 42141 | 2011-09-26 |
| 1003121732 | Teresa Katherine Essex | Speech-Language Pathologist | 341 Ginger Rd, Glasgow, KY 42141 | 2010-08-18 |
| 1396915468 | R David Fant Md Psc | Pediatrics | 1407 North Race St, Glasgow, KY 42141 | 2008-03-05 |
| 1003021957 | Eddy Joe Newberry II | Dentist | 400 S. Broadway, Glasgow, KY 42141 | 2007-05-14 |
| Find all providers in zip 42141 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496557 | Total Renal Care, Inc. | Clinic/Center | 310n L Rogers Wells Bldv, Glasgow, KY 42141-1300 | 2020-01-07 |
| 1235401142 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 205 Professional Park Dr, Glasgow, KY 42141-3486 | 2012-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000232 | Fresenius Medical Care Kentuckiana Ht, LLC | Clinic/Center | 6400 Dutchmans Pkwy Ste 145, Louisville, KY 40205-3342 | 2020-10-09 |
| 1659988970 | Dialyze Direct Ky, LLC | Clinic/Center | 9780 Ormsby Station Rd Ste 1200, Louisville, KY 40223-4049 | 2020-09-30 |
| 1922637529 | Total Renal Care, Inc. | Clinic/Center | 601 Chamberlin Ave, Frankfort, KY 40601-4220 | 2020-04-06 |
| 1629602727 | Pure Life Renal of Louisville, LLC | Clinic/Center | 3935 Taylorsville Rd, Louisville, KY 40220-1455 | 2020-02-27 |
| 1093213902 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1715 Gagel Ave, Louisville, KY 40216-2763 | 2018-01-25 |
| 1972022044 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1112 S Main St Ste 11, Franklin, KY 42134 | 2017-09-11 |
| 1811414980 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 23 A St Ste A, Louisa, KY 41230-6001 | 2017-08-29 |
| 1467978791 | Total Renal Care Inc | Clinic/Center | 737 Dishman Lane Ext, Bowling Green, KY 42104-3898 | 2017-08-18 |
| 1831615434 | Fresenius Medical Care Stanford, LLC | Clinic/Center | 29 Frontier Blvd, Stanford, KY 40484-8513 | 2017-08-16 |
| 1417484767 | Dialysis Clinic Inc | Clinic/Center | 150 War Admiral Ste 4, Danville, KY 40422-8690 | 2017-05-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.