Organization
MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION
Active
Parent organization
MURRAY CALLOWAY COUNTY PUBLIC HOSPTIAL
Other names
Albertson Family Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
MURRAY CALLOWAY COUNTY PUBLIC HOSPTIAL
Authorized official
TERESA CARPENTER (EXECUTIVE DIRECTOR)
(702) 762-1281
Entity
Organization
Contact information
Practice address
543 POWELL ST, BENTON, KY 42025
(270) 527-0045
(270) 527-0075
Mailing address
300 S 8TH ST, SUITE 480 WEST, MURRAY, KY 42071-2400
(270) 527-0045
(270) 527-0075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
02826
KY
208000000X
Pediatrics Physician
02826
KY
363L00000X
Nurse Practitioner
1880P
KY
363LF0000X
Family Nurse Practitioner
3315P
KY
363LP0200X
Pediatric Nurse Practitioner
1880P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100094200
—
KY
Enumeration date
02/17/2009
Last updated
09/10/2021
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