T J SAMSON COMMUNITY HOSPITAL (NPI# 1922343300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922343300 |
| Entity Type | Organization |
| Organization Name | T J SAMSON COMMUNITY HOSPITAL |
| Other Organization Name | T J SAMSON PALLIATIVE CARE |
| Practice Address |
1301 N Race St Glasgow KY 42141-3454 |
| Practice Telephone | 2706514430 |
| Practice Fax Number | 2706514862 |
| Mailing Telephone | 2706514430 |
| Mailing Fax Number | 2706514862 |
| Enumeration Date | 2012-12-11 |
| 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 |
|---|---|---|---|---|---|
| N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100253160 | 05 | |
| KY | 7100253260 | 05 | |
| KY | MEDICARE | K087580 | 01 |
| Other Name | Type Code |
|---|---|
| T J Samson Palliative 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 |
| 1891011524 | T J Samson Community Hospital | Clinic/Center | 1301 N Race St, Glasgow, KY 42141-3454 | 2010-04-20 |
| 1811130859 | T J Samson Community Hospital | Clinic/Center | 1301 N Race St, Glasgow, KY 42141-3454 | 2009-04-07 |
| Street Address |
1301 N RACE ST |
| City | GLASGOW |
| State | KY |
| Zip Code | 42141-3454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581894 | T J Samson Community Hospital | General Acute Care Hospital | 1301 N Race St, Glasgow, KY 42141-3454 | 2005-07-12 |
| 1821635913 | Kristen Wilkinson | Registered Nurse | 1301 N Race St, Glasgow, KY 42141-3454 | 2019-12-08 |
| 1821645961 | Aman Caporaso | Physician Assistant | 1301 N Race St, Glasgow, KY 42141-3483 | 2019-08-22 |
| 1396305777 | Alexis N Sherfey | Nurse Practitioner | 1301 N Race St, Glasgow, KY 42141-3454 | 2019-06-18 |
| 1225524812 | Jon R Jarvis | Nurse Practitioner | 1301 N Race St, Glasgow, KY 42141-3454 | 2018-07-06 |
| 1932693504 | Jonathan Michael Robertson | Nurse Practitioner | 1301 N Race St, Glasgow, KY 42141-3483 | 2018-06-18 |
| 1902323363 | Clinton Bybee | Pharmacist | 1301 N Race St, Glasgow, KY 42141-3454 | 2017-08-26 |
| 1194258459 | Bullhead Emergency Physicians LLC | Emergency Medicine | 1301 N Race St, Glasgow, KY 42141-3454 | 2017-04-04 |
| 1720511082 | Kentucky Em-i Medical Services Psc | Physician Assistant | 1301 N Race St, Glasgow, KY 42141-3454 | 2017-04-04 |
| 1952833311 | Daniel Weeks | Emergency Medicine | 1301 N Race St, Glasgow, KY 42141-3483 | 2017-04-03 |
| 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 | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346472750 | Louisville Palliative Care LLC | Internal Medicine | 3625 Fern Valley Road, Louisville, KY 40219-1916 | 2009-08-18 |
| 1033320619 | Charles Kenny Maffet | Internal Medicine | 105 Diecks Dr, Elizabethtown, KY 42701-2444 | 2007-05-24 |
| 1912129552 | Staci A Mandrola | Internal Medicine | 7504 Westport Rd, Louisville, KY 40222-4108 | 2007-05-03 |
| 1104879105 | Hospice Care Plus, Inc | Internal Medicine | 208 Kidd Dr, Berea, KY 40403-9593 | 2006-05-18 |
| 1306344395 | Community Medical Associates, Inc. | Internal Medicine | 1930 Bishop Ln Ste 1017, Louisville, KY 40218-1933 | 2018-01-25 |
| 1033557848 | Kimberly Ellen Leake | Internal Medicine | 550 S Jackson St Fl 3, Louisville, KY 40202 | 2013-06-13 |
| 1366742256 | Hospice of Southern Kentucky Inc | Internal Medicine | 5872 Scottsville Rd, Bowling Green, KY 42104-7853 | 2010-10-26 |
| 1134453582 | Partners In Palliative Care Pllc | Internal Medicine | 7504 Westport Rd, Louisville, KY 40222-4108 | 2009-10-01 |
| 1285814400 | Melanie Tirronen Farrell | Internal Medicine | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 | 2007-11-05 |
| 1881628857 | Lori Anne Earnshaw | Internal Medicine | 3532 Ephraim Mcdowell Dr, Louisville, KY 40205-3224 | 2006-07-10 |
| 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.