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Organization
MARSHALL COUNTY HOSPITAL LONG TERM CARE
Active
Organization
MARSHALL COUNTY HOSPITAL LONG TERM CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY LONG (ADMINISTRATOR)
(270) 527-4800
Entity
Organization
Contact information
Practice address
503 GEORGE MCCLAIN DR, BENTON, KY 42025-1331
(270) 527-4800
(270) 527-4853
Mailing address
503 GEORGE MCCLAIN DR, BENTON, KY 42025-1331
(270) 527-4800
(270) 527-4853
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
100328
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054609
BLUE CROSS
KY
05
—
12501979
—
KY
Enumeration date
12/29/2006
Last updated
08/22/2020
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