Organization
MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION
Active
Other names
MURRAY PSYCHIATRIC ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BRADFORD (AUTHORIZED OFFICIAL)
(270) 762-1104
Entity
Organization
Contact information
Practice address
719 ELM ST, MURRAY, KY 42071
(270) 761-0043
(270) 761-0045
Mailing address
300 S 8TH ST, STE 480W, MURRAY, KY 42071-2400
(270) 753-0704
(270) 762-3626
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100119010
—
KY
05
—
7100551590
—
KY
Enumeration date
07/22/2009
Last updated
01/10/2024
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