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NPI Code Detail

MEDICARE: MURRAY CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION

MEDICARE: MURRAY CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740271576
Entity Type Code : Organization
Provider Name (Legal Business Name) : MURRAY CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION
Provider Business Mailing Address
First Line : 803 POPLAR ST
Second Line :
City : MURRAY
State : KY
Zip : 42071-2432
Country : US
Telephone Number : 270-762-1281
Fax Number : 270-767-3657
Provider Business Practice Location Address
First Line : 1401 S 16TH ST
Second Line :
City : MURRAY
State : KY
Zip : 42071-2804
Country : US
Telephone Number : 270-752-2900
Fax Number : 270-752-2990
Authorized Official
Title or Position : EXECUTIVE DIRECTOR OF REVENUE CYCLE
Name : TERESA CARPENTER
Credential :
Telephone Number : 270-762-1281
Provider Enumeration Date : 11/01/2005
Last Update Date : 05/24/2021

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