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NPI Code Detail

MEDICARE: MUHLENBERG COMMUNITY HOSPITAL INC

MEDICARE: MUHLENBERG COMMUNITY HOSPITAL INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician44957KY

General Provider Information

NPI Number : 1568729408
Entity Type Code : Organization
Provider Name (Legal Business Name) : MUHLENBERG COMMUNITY HOSPITAL INC
Provider Business Mailing Address
First Line : PO BOX 387
Second Line :
City : GREENVILLE
State : KY
Zip : 42345-0387
Country : US
Telephone Number : 270-757-0014
Fax Number : 270-757-0020
Provider Business Practice Location Address
First Line : 101 LEGION DR
Second Line : SUITE 3
City : CENTRAL CITY
State : KY
Zip : 42330-1496
Country : US
Telephone Number : 270-757-0014
Fax Number : 270-757-0020
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. JOHN T. COUNTZLER
Credential :
Telephone Number : 270-338-8275
Provider Enumeration Date : 04/17/2012
Last Update Date : 10/18/2013

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1083032395 — MUHLENBERG COMMUNITY HOSPITAL INC
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Directions to “MUHLENBERG COMMUNITY HOSPITAL INC ” Practice Location

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