Organization
MARSHALL COUNTY HOSPITAL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FUQUA (ADMINISTRATOR)
(270) 527-4800
Entity
Organization
Contact information
Practice address
615 OLD SYMSONIA RD, BENTON, KY 42025-5042
(270) 527-4800
(270) 527-4853
Mailing address
615 OLD SYMSONIA RD, BENTON, KY 42025-5042
(270) 527-4800
(270) 527-4853
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
600078
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054609
BLUE CROSS
KY
05
—
12700241
—
KY
Enumeration date
12/27/2006
Last updated
07/10/2013
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