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CAH181327-00 MARSHALL COUNTY HOSPITAL (Active)
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Main Details
Name
MARSHALL COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH181327-00
Medicare Provider Number
181327
Additional Details
Current Program Status
Active
Registration Date
4/2/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/3/2018
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Marshall County Hospital
David Fuqua, CEO
(270) 527-4850
Primary Contact
Marshall County Hospital
Tiffany Tubbs, CCO
(270) 527-4840
Addresses
Street Address
615 OLD SYMSONIA RD
BENTON, KY 42025
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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