Organization
CRITTENDEN COUNTY HOSPITAL
Active
Other names
CRITTENDEN HEALTH SYSTEMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS M HALES (CHIEF FINANCIAL OFFICER)
(270) 965-1042
Entity
Organization
Contact information
Practice address
520 W GUM ST, MARION, KY 42064-1516
(270) 965-1042
(270) 965-1042
Mailing address
520 W GUM ST, MARION, KY 42064-1516
(270) 965-1042
(270) 965-1042
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA385
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102
MEDICARE GROUP NUMBER
KY
05
—
95900908
—
KY
Enumeration date
03/21/2008
Last updated
03/06/2012
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