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General NPI Number Information
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NPI Number | 1548248123
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Entity Type | Organization
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Legal Business Name | METHODIST HEALTH, INC.
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Dates
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Enumeration Date | 01/04/2006
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 1284 US HIGHWAY 60 W
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City | MORGANFIELD
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State | KY
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Zip | 42437-6236
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Country | US
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Telephone | 270-389-2323
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Fax | 270-389-0526
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Provider Business Mailing Address
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Address Line | PO BOX 638706
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City | CINCINNATI
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State | OH
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Zip | 45263-8706
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Country | US
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Telephone | 270-827-7558
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Fax | 270-827-7530
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Authorized Official
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Title or Position | VP
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Name | STEPHANIE JENKINS
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Credential |
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Telephone | 270-827-7118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 900221
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License Number State | KY
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