Organization
MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION
Active
Parent organization
MURRAY CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION
Other names
Marshall County Family Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MURRAY CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION
Authorized official
MRS. CHASITY DOTSON CPC (CREDENTIALING SPECIALISTS)
(270) 762-1780
Entity
Organization
Contact information
Practice address
543 POWELL LN, BENTON, KY 42025-5366
(270) 527-2273
(270) 527-9602
Mailing address
300 S 8TH ST, SUITE 480 WEST, MURRAY, KY 42071-2400
(270) 762-1780
(270) 762-1783
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30462
KY
363LF0000X
Family Nurse Practitioner
3142P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD 7100050070
—
KY
05
—
NP 7100089890
—
KY
Enumeration date
04/14/2008
Last updated
09/10/2021
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