Organization
CRITTENDEN COUNTY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MISTY K MCKINNEY (ACCOUNTANT)
(270) 965-1001
Entity
Organization
Contact information
Practice address
520 W GUM ST, MARION, KY 42064-1516
(270) 965-2770
(270) 965-2402
Mailing address
PO BOX 589, MADISONVILLE, KY 42431-5011
(270) 824-8123
(270) 824-8140
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1023
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000378864
ANTHEM BLUE CROSS
KY
01
—
163030800
US DEPARTMENT OF LABOR
—
05
—
55028021
—
KY
05
—
56003817
—
KY
01
—
610397301
FEDERAL BLACK LUNG PROGRAM
—
Enumeration date
12/12/2005
Last updated
12/22/2017
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