NPIMap

Organization Active NPI

Marshall County Health Department

Doing business as North Marshall Middle School

  • Public Health or Welfare Agency
  • Benton, KY
National Provider Identifier
1184094377
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MARSHALL COUNTY HEALTH DEPARTMENT
Doing business as
North Marshall Middle School
Practice address
267 Slickback Rd
Benton, KY 42025-7629
Phone
(270) 527-1496
NPI assigned
Sep 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Stacey Smith
Title
Account Clerk
Phone
(270) 527-1496

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

Other identifiers 1

IdentifierTypeStateIssuer
20079018MedicaidKY

Other names 1

  • North Marshall Middle School Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D1072704Marshall County Health Department267 Slickback Road, Benton, KY 42025Provider-performed microscopyAug 21, 2027

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.

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1184094377",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "ACCOUNT CLERK",
        "authorized_official_telephone_number": "270-527-1496"
    },
    "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": [
        {
            "organization_name": "North Marshall Middle School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.