Organization
CRITTENDEN COUNTY HOSPITAL
Active
Parent organization
CRITTENDEN COUNTY HOSPITAL
Other names
MARION HOME HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRITTENDEN COUNTY HOSPITAL
Authorized official
MR. THOMAS M HALES (CHIEF FINANCIAL OFFICER)
(270) 965-1042
Entity
Organization
Contact information
Practice address
520 W GUM ST, MARION, KY 42064-0386
(270) 965-5281
(270) 965-1061
Mailing address
PO BOX 386, MARION, KY 42064-0386
(270) 965-5281
(270) 965-1061
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
150144
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054475
ANTHEM BLUE CROSS
KY
05
—
34001289
—
KY
05
—
42001289
—
KY
Enumeration date
03/19/2007
Last updated
12/12/2011
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