Organization
CRITTENDEN COUNTY HOSPITAL
Active
Other names
MARION HOME HEALTH-MEDICAID WAIVER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS M HALES (CHIEF FINANCIAL OFFICER)
(270) 965-1042
Entity
Organization
Contact information
Practice address
520 WEST GUM ST, MARION, KY 42064-0386
(270) 965-1042
(270) 965-1061
Mailing address
520 WEST GUM ST, MARION, KY 42064-0386
(270) 965-1042
(270) 965-1061
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
150144
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42001289
—
KY
Enumeration date
03/26/2008
Last updated
12/12/2011
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