Organization
CRITTENDEN COUNTY HOSPITAL
Active
Other names
Crittenden Health Systems ER Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY KAY MCKINNEY (CONTROLLER)
(270) 965-1001
Entity
Organization
Contact information
Practice address
520 WEST GUM ST, MARION, KY 42064-0386
(270) 965-1042
(270) 965-1061
Mailing address
PO BOX 386, MARION, KY 42064-0386
(270) 965-1042
(270) 965-1061
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102
MEDICARE PROVIDER #
KY
05
—
65938235
—
KY
Enumeration date
04/02/2008
Last updated
04/25/2019
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