Deaconess Union County Hospital, Inc
Organization Active NPI Anesthesiology Physician · Morganfield, KY
NPI 1003481201 · NPPES record last updated May 21, 2021
Key facts
- NPI
- 1003481201
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- DEACONESS UNION COUNTY HOSPITAL, INC
- Practice address
- 4604 US Highway 60 W
Morganfield, KY 42437-6515 - Phone
- (270) 389-5000
- Fax
- (270) 389-3567
- NPI assigned
- May 21, 2021
- Organization subpart
- No
Authorized official
- Name
- Cheryl A Wathen
- Title
- Cfo
- Phone
- (812) 450-3296
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 5
Practitioners 19
-
William H Clapp, M.D.
-
Macy Lura Thompson Clevidence, APRN FNP-C
-
Shara E Mills, APRN
-
Theresa Kaye Peek, APRN
-
Jonathon Rogers, MD
-
Christina Cole Chumley, APRN
-
Kelly L Cole, D.O.
-
Heather T. Davis, APRN
-
Amber N Koon, DO
-
Chelsea Jo Vance, APRN
-
Debra J Wallace, M.D.
-
Richard Westen Breeding, CRNA
-
Kevin Hardesty, CRNA
-
Sharon M Hubbard, CRNA
-
Kevin Whelan, CRNA
-
Sarah M Bickett, PA-C
-
Wendy Jo Lucas, APRN
-
Karen Goldie, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210811002781 | KY | Part B Supplier - Clinic/Group Practice | 5799189866 |
Receives reassigned benefits from 15 practitioners 3 other NPIs on this enrollment Practice locations: Dixon, KY; Morganfield, KY |
National Provider Directory
- Tax ID family
- Deaconess Union County Hospital Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes | ||
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
4604 US Highway 60 W
Morganfield, KY 42437-6515
Mailing address
PO Box 638705
Cincinnati, OH 45263-8705
Phone (270) 389-5000
Other names
- Deaconess Union County Anesthesia
Other providers in Morganfield, KY
- Deaconess Clinic, Inc
- Deaconess Health Kentucky Inc
- Deaconess Hospital, Inc
- Deaconess Speciality Physicians, Inc
- Deaconess Specialty Physicians, Inc
- Deaconess Union County Hospital, Inc
- Deaconess Union County Hospital, Inc
- Deaconess Union County Hospital, Inc
- Deaconess Union County Hospital, Inc
- Michaela Dehaven
All providers in Morganfield, KY · Anesthesiology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.