Healthcare Provider Details

I. General information

NPI: 1801944517
Provider Name (Legal Business Name): METHODIST HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 12/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 N ELM ST
HENDERSON KY
42420-2783
US

IV. Provider business mailing address

1305 N ELM ST
HENDERSON KY
42420-2783
US

V. Phone/Fax

Practice location:
  • Phone: 270-827-7164
  • Fax: 270-830-4711
Mailing address:
  • Phone: 270-827-7164
  • Fax: 270-830-4711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License NumberP05007
License Number StateKY

VIII. Authorized Official

Name: BENNY J NOLAN
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 270-827-7500