Healthcare Provider Details

I. General information

NPI: 1821212002
Provider Name (Legal Business Name): METHODIST HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 09/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4604 US HWY 60 WEST
MORGANFIELD KY
42437
US

IV. Provider business mailing address

4604 US HWY 60 WEST
MORGANFIELD KY
42437
US

V. Phone/Fax

Practice location:
  • Phone: 270-389-5000
  • Fax: 270-389-3567
Mailing address:
  • Phone: 270-389-5000
  • Fax: 270-389-3567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number600057
License Number StateKY

VIII. Authorized Official

Name: MR. BENNY J NOLEN
Title or Position: CEO
Credential:
Phone: 270-827-7501