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NPI Code Detail

MEDICARE: METHODIST HEALTH, INC.

MEDICARE: METHODIST HEALTH, 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
13416L0300XLand Ambulance1043KY

Other Identifiers

General Provider Information

NPI Number : 1881677805
Entity Type Code : Organization
Provider Name (Legal Business Name) : METHODIST HEALTH, INC.
Provider Business Mailing Address
First Line : PO BOX 1083
Second Line :
City : HENDERSON
State : KY
Zip : 42419-1083
Country : US
Telephone Number : 270-826-6558
Fax Number : 270-826-6362
Provider Business Practice Location Address
First Line : 383 BORAX DR
Second Line :
City : HENDERSON
State : KY
Zip : 42420-5050
Country : US
Telephone Number : 270-826-6558
Fax Number : 270-826-6362
Authorized Official
Title or Position : CEO
Name : MR. BENNY J NOLEN
Credential :
Telephone Number : 270-827-7502
Provider Enumeration Date : 11/23/2005
Last Update Date : 12/06/2018

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