| Organization Name: | TJ SAMSON COMMUNITY HOSPITAL |
| NPI Number: | 1093752040 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HERMAN WETHINGTON (CFO) |
| Mailing Address: | 1325 N Race St Glasgow |
| State: | KY US |
| Postal Code: | 421413454 |
| Phone Number: | 2706514797 |
| Fax Number: | 2706514818 |
| NPI Enumeration Date: | 05/31/2006 |
| NPI Last Update Date: | 11/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |