# MARSHALL COUNTY HOSPITAL LONG TERM CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336205897
- **Authorized official:** KATHY LONG (ADMINISTRATOR)
- **Authorized official phone:** (270) 527-4800

## Contact information

- **Practice address:** 503 GEORGE MCCLAIN DR, BENTON, KY 42025-1331
- **Practice address phone:** (270) 527-4800
- **Practice address fax:** (270) 527-4853
- **Mailing address:** 503 GEORGE MCCLAIN DR, BENTON, KY 42025-1331
- **Mailing address phone:** (270) 527-4800
- **Mailing address fax:** (270) 527-4853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 100328 | KY | Yes |

## Other

- **Enumeration date:** 12/29/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000054609 | BLUE CROSS | KY |
| 05 | — | 12501979 | — | KY |