NPIMap

Organization Active NPI

Marshall County Hospital Long Term Care

  • Nursing Facility/Intermediate Care Facility
  • Benton, KY
National Provider Identifier
1336205897
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
100328 Issued in KY
Legal business name
MARSHALL COUNTY HOSPITAL LONG TERM CARE
Practice address
503 George McClain Dr
Benton, KY 42025-1331
Phone
(270) 527-4800
Fax
(270) 527-4853
NPI assigned
Dec 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kathy Long
Title
Administrator
Phone
(270) 527-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 100328 KY Primary

Addresses

Primary practice location

503 George McClain Dr
Benton, KY 42025-1331

Mailing address

503 George McClain Dr
Benton, KY 42025-1331
Phone (270) 527-4800

Other identifiers 2

IdentifierTypeStateIssuer
12501979MedicaidKY
000000054609OtherKYBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336205897. Details of each certification follow.

Hospital certification: CCN 180026

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MARSHALL COUNTY HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Nov 30, 2005
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 16, 2002
Beds
46
Ownership / control type
Local
Facility address
503 George McClain Dr
Benton, KY 42025

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336205897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 GEORGE MCCLAIN DR",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420251331",
            "telephone_number": "270-527-4800",
            "fax_number": "270-527-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 GEORGE MCCLAIN DR",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420251331",
            "telephone_number": "270-527-4800",
            "fax_number": "270-527-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL COUNTY HOSPITAL LONG TERM CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "270-527-4800"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KY",
            "license": "100328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12501979",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000054609",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, KY

Sources for this page

Verify at the official NPI Registry.