Organization
MARSHALL COUNTY HEALTH DEPT
Active
Other names
Jonathan Elementary School
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY SMITH (FINANCIAL CLERK)
(270) 252-2715
Entity
Organization
Contact information
Practice address
267 SLICKBACK RD, BENTON, KY 42025-7629
(270) 527-1496
Mailing address
267 SLICKBACK RD, BENTON, KY 42025-7629
(270) 527-1496
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20079018
—
KY
Enumeration date
03/21/2007
Last updated
09/16/2015
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