MARSHALL COUNTY SURGICAL & MEDICAL GROUP
NPI 1962873109
Clinic/Center - Rural Health in Benton, KY

Q: What is Marshall County Hospital District's NPI number?

The NPI number for Marshall County Hospital District is 1962873109. It was assigned to this organization in the NPPES registry on October 14, 2015. The provider is doing business as Marshall County Surgical & Medical Group.

Q: What is Marshall County Hospital District's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since October 14, 2015CLIA 18D1082554 · Waiver

619 OLD SYMSONIA RD, BENTON, KY 42025(270) 527-2411(270) 527-8734 Get Directions Write a Review

NPPES record last updated: October 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marshall County Surgical & Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARSHALL COUNTY SURGICAL & MEDICAL GROUP (NPI 1962873109) is a healthcare organization registered as a rural health in Benton, Kentucky and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through April 13, 2028 and lists David G Fuqua, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962873109

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameMARSHALL COUNTY HOSPITAL DISTRICT

Location Address619 OLD SYMSONIA RDBenton, KY 42025-5094

Mailing Address619 Old Symsonia RdBenton, KY 42025-5094 · (270) 527-2411 · Fax (270) 527-8734

Phone(270) 527-2411

Fax(270) 527-8734

Organization SubpartNo

Authorized OfficialDavid G FuquaCeo · (270) 527-4850

Enumeration DateOctober 14, 2015

✔ NPI 1962873109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

619 OLD SYMSONIA RD, Benton, KY 42025

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Other Names 1

Doing Business AsMarshall County Surgical & Medical Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D1082554

Marshall County Surgical & Medical Group · Benton, KY

Active · expires Apr 13, 2028

CLIA Number18D1082554

Laboratory TypePhysician Office

Certificate Effective DateApril 14, 2026

Certificate Expiration DateApril 13, 2028

Laboratory DirectorDr. Julia Lyles

Laboratory Phone(270) 527-2411

Laboratory LocationMarshall County Surgical & Medical Group617 Old Symsonia Road, Benton, KY 42025

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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