Healthcare Provider Details

I. General information

NPI: 1376594911
Provider Name (Legal Business Name): MUHLENBERG COMMUNITY HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 03/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 MEDICAL CENTER DR
POWDERLY KY
42367-5463
US

IV. Provider business mailing address

PO BOX 111
CENTRAL CITY KY
42330-0111
US

V. Phone/Fax

Practice location:
  • Phone: 270-377-0111
  • Fax: 270-377-0113
Mailing address:
  • Phone: 270-338-8276
  • Fax: 270-338-8278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: EDWARD L HEATH JR.
Title or Position: CEO
Credential:
Phone: 270-338-8275