NPIMap

Organization Active NPI

Murray-Calloway County Public Hospital Corporation

  • Rehabilitation Hospital Unit
  • Murray, KY
National Provider Identifier
1043336910
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
100053 Issued in KY
Legal business name
MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION
Practice address
803 Poplar St
Murray, KY 42071-2432
Phone
(270) 762-1281
Fax
(270) 767-3657
NPI assigned
Mar 22, 2007
Last updated
Sep 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Teresa Carpenter
Title
Executive Director
Phone
(270) 762-1281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 100053 KY Primary

Addresses

Primary practice location

803 Poplar St
Murray, KY 42071-2432

Mailing address

803 Poplar St
Murray, KY 42071-2432
Phone (270) 762-1281

Other names 1

  • MCCH IP Rehab Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070524000406 KY Part A Provider - Hospital 0840103297 Practice locations: Murray, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043336910. Details of each certification follow.

Hospital certification: CCN 18T027

Legal name
MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION
Doing business as
MURRAY-CALLOWAY COUNTY HOSPITAL IP REHAB
Organization structure
CorporationNon-profit
Incorporated
Aug 29, 1962 in KY
Enrollment address
803 Poplar St
Murray, KY 42071-2432
Hospital Rehabilitation Unit
Hospital subgroups
General, Rehabilitation, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Murray Calloway County HospitalCCN 18T027 · All quality measures
Ownership
Non-profit
Certified
Oct 1, 2007

National Provider Directory

National Provider Directory
Tax ID family
Murray Calloway Cnty Ho22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jeffrey Eye Individual Corporate OfficerVP Patient Care Oct 1, 2015
W-2 Managing EmployeeVP Patient Care Oct 1, 2015
Operational/Managerial ControlVP Patient Care Oct 1, 2015
Brian Craven Individual Corporate OfficerCfo Jan 1, 2026
W-2 Managing EmployeeCfo Jan 1, 2026
Martha Erwin Individual Corporate DirectorBoard MBR/Vice Chair Apr 1, 2015
City of Murray, Kentucky Organization, Murray, KY Other Mar 9, 1966 50%
John Wilson Individual Corporate OfficerHR VP Feb 18, 2008
W-2 Managing EmployeeHR VP Feb 18, 2008
Operational/Managerial ControlHR VP Feb 18, 2008
County of Calloway, Kentucky Organization, Murray, KY Other Mar 9, 1966 50%
Chasity Dotson Individual W-2 Managing EmployeeSenior Enterprise Credentialing Spe Jan 1, 2026
Reba Lowery Celsor Individual Corporate OfficerCeo Jan 1, 2026
W-2 Managing EmployeeCeo Jan 1, 2026

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Murray PediatricsMurray, KY, CCN B08914 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2025
Murray Medical AssociatesMurray, KY, CCN B08915 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1043336910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 POPLAR ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712432",
            "telephone_number": "270-762-1281",
            "fax_number": "270-767-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 POPLAR ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712432",
            "telephone_number": "270-762-1281",
            "fax_number": "270-767-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "270-762-1281"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "KY",
            "license": "100053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCCH IP Rehab",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MCCH IP Rehab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Murray, KY

Sources for this page

Verify at the official NPI Registry.