NPIMap

Organization Active NPI

Marshall County Health Dept

  • Public Health or Welfare Agency
  • Benton, KY
National Provider Identifier
1104800127
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MARSHALL COUNTY HEALTH DEPT
Practice address
267 Slickback Rd
Benton, KY 42025-7629
Phone
(270) 527-1496
Fax
(270) 527-5321
NPI assigned
Dec 2, 2005
Last updated
Aug 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Authorized official

Name
Mrs. Cathy D Thompson
Title
Financial Administrator Personnel
Phone
(270) 252-2714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X KY Primary

Addresses

Primary practice location

267 Slickback Rd
Benton, KY 42025-7629

Mailing address

267 Slickback Rd
Benton, KY 42025-7629
Phone (270) 527-1496

Other identifiers 1

IdentifierTypeStateIssuer
20079018MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050523000392 KY Part B Supplier - Clinic/Group Practice 8527000314 Receives reassigned benefits from 4 practitioners
Practice locations: Benton, KY

National Provider Directory

National Provider Directory
Tax ID family
Marshall County Health Dept11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1104800127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 SLICKBACK RD",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420257629",
            "telephone_number": "270-527-1496",
            "fax_number": "270-527-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 SLICKBACK RD",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420257629",
            "telephone_number": "270-527-1496",
            "fax_number": "270-527-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL COUNTY HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "FINANCIAL ADMINISTRATOR PERSONNEL",
        "authorized_official_telephone_number": "270-252-2714",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20079018",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.