MEDICARE: MUHLENBERG COMMUNITY HOSPITAL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083032395
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUHLENBERG COMMUNITY HOSPITAL INC

Provider Business Mailing Address
First Line	:	PO BOX 111
Second Line	:
City	:	CENTRAL CITY
State	:	KY
Zip	:	42330-0111
Country	:	US
Telephone Number	:	270-757-0014
Fax Number	:	270-757-0020

Provider Business Practice Location Address
First Line	:	101 LEGION DR
Second Line	:
City	:	CENTRAL CITY
State	:	KY
Zip	:	42330-1496
Country	:	US
Telephone Number	:	270-757-0014
Fax Number	:	270-757-0020

Authorized Official
Title or Position	:	CEO
Name	:	EDWARD L HEATH JR.
Credential	:
Telephone Number	:	270-338-8275

Provider Enumeration Date	:	04/03/2014
Last Update Date	:	03/12/2015

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Directions to “MUHLENBERG COMMUNITY HOSPITAL INC ” Practice Location

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