Murray-Calloway County Public Hospital Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30462 Issued in KY

Legal business name

MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION

Doing business as

Marshall County Family Medical Center

Practice address

543 Powell LN
Benton, KY 42025-5366

Phone

(270) 527-2273

Fax

(270) 527-9602

NPI assigned

Apr 14, 2008

Organization subpart

Yes

Parent organization

MURRAY CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Mrs. Chasity Dotson, CPC

Title

Credentialing Specialists

Phone

(270) 762-1780

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Marshall County Family Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Murray-Calloway County Public Hospital Corporation

  • Rural Acute Care Hospital
  • Murray, KY
  • NPI 1063549814

  O20040429001328

  Same enrollment
• Murray-Calloway County Public Hospital Corporation

  • Multi-Specialty Clinic/Center
  • Murray, KY
  • NPI 1093988388

  O20040429001328

  Same enrollment
• Murray-Calloway County Public Hospital Corporation

  • Orthopaedic Surgery Physician
  • Murray, KY
  • NPI 1356580443

  O20040429001328

  Same enrollment
• Murray-Calloway County Public Hospital Corporation

  • Adult Mental Health Clinic/Center
  • Murray, KY
  • NPI 1588894703

  O20040429001328

  Same enrollment
• Murray-Calloway County Public Hospital Corporation

  • Multi-Specialty Clinic/Center
  • Murray, KY
  • NPI 1629202858

  O20040429001328

  Same enrollment
• Murray-Calloway County Public Hospital Corporation

  • Family Medicine Physician
  • Benton, KY
  • NPI 1689813594

  O20040429001328

  Same enrollment

Part of

Murraycalloway County Hospi

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1255505087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST",
            "address_2": "SUITE 480 WEST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712400",
            "telephone_number": "270-762-1780",
            "fax_number": "270-762-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 POWELL LN",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420255366",
            "telephone_number": "270-527-2273",
            "fax_number": "270-527-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MURRAY CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION",
        "enumeration_date": "2008-04-14",
        "last_updated": "2021-09-10",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "DOTSON",
        "authorized_official_first_name": "CHASITY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALISTS",
        "authorized_official_telephone_number": "270-762-1780",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "30462",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3142P",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP 7100089890",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD 7100050070",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshall County Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marshall County Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mid-State Investments LLC
• Mind Your Mentality
• Laurel Morris, O.D.
• Maegan M Moryl, APRN
• Kasey A Murphy, APRN
• Murray-Calloway County Public Hospital Corporation
• Ashley Oakley
• Susan C Padgett, OTR/L
• Lindsey Ellen Paradise, OTR/L
• Edwin Perez-Lopez, MD

• Family Medicine Physician in Benton, KY
• Providers in Benton, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.