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General NPI Number Information
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NPI Number | 1881677805
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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 | 11/23/2005
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Last Update Date | 12/06/2018
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Provider Practice Location Address
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Address Line | 383 BORAX DR
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City | HENDERSON
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State | KY
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Zip | 42420-5050
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Country | US
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Telephone | 270-826-6558
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Fax | 270-826-6362
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Provider Business Mailing Address
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Address Line | PO BOX 1083
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City | HENDERSON
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State | KY
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Zip | 42419-1083
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Country | US
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Telephone | 270-826-6558
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Fax | 270-826-6362
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Authorized Official
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Title or Position | CEO
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Name | MR. BENNY J NOLEN
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Credential |
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Telephone | 270-827-7502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1043
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License Number State | KY
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