Basic Information
Provider Information
NPI: 1720101595
EntityType: 2
ReplacementNPI:  
OrganizationName: MURRAY CALLOWAY COUNTY HOSPITAL
LastName:  
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Mailing Information
Address1: 803 POPLAR ST
Address2:  
City: MURRAY
State: KY
PostalCode: 420712432
CountryCode: US
TelephoneNumber: 2707621281
FaxNumber: 2707673657
Practice Location
Address1: 803 POPLAR ST
Address2:  
City: MURRAY
State: KY
PostalCode: 420712432
CountryCode: US
TelephoneNumber: 2707621281
FaxNumber: 2707673657
Other Information
ProviderEnumerationDate: 04/09/2007
LastUpdateDate: 11/19/2007
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: HALE
AuthorizedOfficialFirstName: DANIEL
AuthorizedOfficialMiddleName: TODD
AuthorizedOfficialTitleorPosition: BOD
AuthorizedOfficialTelephone: 2707621281
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X100053KYY HospitalsGeneral Acute Care Hospital 

No ID Information.


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