PRIMARY CARE ASSOCIATES OF RUSSELL COUNTY
NPI 1295245025
Clinic/Center - Rural Health in Russell Springs, KY

Active since October 06, 2017CLIA 18D0326808 · Waiver
92 JOE T PETTY DR, RUSSELL SPRINGS, KY 42642(270) 866-9359 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2024, Jun 16, 2018 (2 updates tracked since 2018).

About Primary Care Associates Of Russell County NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIMARY CARE ASSOCIATES OF RUSSELL COUNTY (NPI 1295245025) is a healthcare organization registered as a rural health in Russell Springs, Kentucky and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through November 2, 2026 and lists Nequila Norris, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1295245025
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameRUSSELL COUNTY HOSPITAL
Location Address92 JOE T PETTY DRRussell Springs, KY 42642-8544
Mailing AddressPo Box 1610Russell Springs, KY 42642-1610 · (270) 866-4141
Organization SubpartYes
Authorized OfficialNequila NorrisDirector Of Finance · (270) 858-6936
Enumeration DateOctober 6, 2017
Last NPPES UpdateJune 10, 20242 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
NPI 1295245025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
92 JOE T PETTY DR, Russell Springs, KY 42642

Other Names 1

Doing Business AsPrimary Care Associates Of Russell County

Other Identifiers 1

Medicaid7100339990KY

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0326808

Primary Care Associates Of Russell County · Russell Springs, KY
Active · expires Nov 2, 2026
CLIA Number18D0326808
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2024
Certificate Expiration DateNovember 2, 2026
Laboratory DirectorDr. Miles K. Gibson
Laboratory Phone(270) 866-7066
Laboratory LocationPrimary Care Associates Of Russell County92 J P Petty Drive, Suite 300, Russell Springs, KY 42642
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
92 JOE T PETTY DR
RUSSELL SPRINGS, KY 42642
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
92 JOE T PETTY DR, SUITE 700
RUSSELL SPRINGS, KY 42642
Internal Medicine
92 JOE T PETTY DR
RUSSELL SPRINGS, KY 42642
Urology
92 JOE T PETTY DR
RUSSELL SPRINGS, KY 42642
Family Medicine
92 JOE T PETTY DR, SUITE 300
RUSSELL SPRINGS, KY 42642
Nurse Practitioner (Family)
92 JOE T PETTY DR
RUSSELL SPRINGS, KY 42642
Pharmacy (Community/Retail Pharmacy)
92 JOE T PETTY DR, STE 100
RUSSELL SPRINGS, KY 42642
Nurse Practitioner (Family)
92 JOE T PETTY DR, SUITE 400
RUSSELL SPRINGS, KY 42642

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell County Hospital's NPI number?

The NPI number for Russell County Hospital is 1295245025. It was assigned to this organization in the NPPES registry on October 6, 2017. The provider is doing business as Primary Care Associates Of Russell County.

Where is Russell County Hospital located?

Russell County Hospital is located at 92 Joe T Petty Dr, Russell Springs, KY 42642. The listed phone number is (270) 866-9359.

What is Russell County Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Russell County Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0326808) is associated with this NPI, valid through November 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Russell County Hospital accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Russell County Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Russell County Hospital was last updated on June 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.