NPIMap

Organization Active NPI

Marshall County Health Department

Doing business as Marshall County Health Department Calvert City Clinic

  • Public Health or Welfare Agency
  • Calvert City, KY
National Provider Identifier
1750694972
Registry record updated Jul 16, 2010
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
Marshall County Health Department Calvert City Clinic
Practice address
503 A 5TH Ave S.E.
Calvert City, KY 42029
Phone
(270) 527-1496
Fax
(270) 527-5321
NPI assigned
Jul 16, 2010
Last updated
Jul 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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 NU Primary

Addresses

Primary practice location

503 A 5TH Ave S.E.
Calvert City, KY 42029

Mailing address

PO Box 607
Benton, KY 42025-0607
Phone (270) 527-1496

Other identifiers 1

IdentifierTypeStateIssuer
20079026MedicaidKY

Other names 1

  • Marshall County Health Department Calvert City Clinic Doing business as

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 1

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": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1750694972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420250607",
            "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": "503 A 5TH AVE S.E.",
            "city": "CALVERT CITY",
            "state": "KY",
            "postal_code": "42029",
            "telephone_number": "270-527-1496",
            "fax_number": "270-527-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20079026",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshall County Health Department Calvert City Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calvert City, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.