Organization
CRITTENDEN COMMUNITY HOSPITAL LLC
Active
Other names
Fredonia Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
DARREL MORRIS (COO)
(918) 527-1234
Entity
Organization
Contact information
Practice address
21234 MARION RD, FREDONIA, KY 42411-9250
(270) 545-2929
Mailing address
520 W GUM ST, MARION, KY 42064-1516
(270) 965-1042
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
04/20/2022
Last updated
03/01/2023
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