NPIMap

Organization Active NPI

Methodist Health, Inc.

Doing business as Deaconess Henderson Hospital

  • General Acute Care Hospital
  • Henderson, KY
National Provider Identifier
1083759633
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
100173 Issued in KY
Legal business name
METHODIST HEALTH, INC.
Doing business as
Deaconess Henderson Hospital
Practice address
1305 N Elm St
Henderson, KY 42420-2783
Phone
(270) 827-7700
NPI assigned
Feb 21, 2007
Last updated
Nov 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Linda E White
Title
Ceo
Phone
(270) 827-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 100173 KY Primary

Addresses

Primary practice location

1305 N Elm St
Henderson, KY 42420-2783

Mailing address

PO Box 638704
Cincinnati, OH 45263-8706
Phone (270) 827-7558

Other identifiers 1

IdentifierTypeStateIssuer
01012053MedicaidKY

Other names 1

  • Deaconess Henderson Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://urldefense.proofpoint.com/v2/url?u=https-3A__cobiusconnect.cobius.com-3A8291_Gateway_DocumentSubmission_2-5F0_NhinService_XDRRequest-5FService&d=DwMFAg&c=e_HtEeZEQXP5NUOb33qoTj0AVvRFBS9_rhBTQcfkWoA&r=RPaHwOLb45N3rzuGaUaerDTLotpYMtdgSkh3ENgJKWA&m=lCZ4ZeB6jzdbZWTDEfFXiy0hl5f9CcY8BkL3YmQQfuA&s=jVDtKVRmeoq4DSCvx4guoD37hjWz6K7ZWS9g0or_-t4&e= Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080325000660 KY Part A Provider - Hospital 4981508454 Practice locations: Henderson, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083759633. Details of each certification follow.

Hospital certification: CCN 180056

Legal name
METHODIST HEALTH, INC.
Doing business as
DEACONESS HENDERSON HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Sep 20, 2001
Beds
205
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Aug 16, 1948 in KY
Enrollment address
1305 N Elm St
Henderson, KY 42420-2783
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Deaconess Henderson HospitalCCN 180056 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Methodist HospitalCCN 18T056
Ownership
Non-profit
Certified
Jul 1, 2000

This is a unit of this hospital with its own CMS Certification Number. Care Compare reports it separately, and it has no NPI of its own. How units are connected

National Provider Directory

National Provider Directory
Tax ID family
MH ER Physicians17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mike Cameron Individual Corporate DirectorBoard Member Dec 5, 2019
Curtis M Webb Individual Corporate DirectorBoard Member Sep 21, 2018
Susan Parsons Individual Corporate DirectorBoard Member Oct 5, 2018
Charles Austin Individual Corporate DirectorBoard Member Sep 21, 2018
Gregory Risch Individual Corporate DirectorBoard Member Oct 5, 2018
James Vincent Individual Corporate DirectorBoard Member Sep 21, 2018
Christina Ryan Individual Corporate DirectorBoard Member Sep 21, 2018
Linda White Individual Corporate OfficerCao Oct 19, 2019
W-2 Managing EmployeeCao Oct 1, 2019
Phillip Dane Shields Individual Corporate DirectorBoard Member Jul 1, 2020
Cheryl Wathen Individual Corporate OfficerCfo Jul 1, 2020
Shawn W McCoy Individual Corporate OfficerCeo Jul 1, 2020
Deaconess Health Kentucky Inc Organization, Evansville, IN 5% Or Greater Direct Ownership Interest Jul 1, 2020

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 55

Affiliated clinicians 540

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 540

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1083759633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638704",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452638706",
            "telephone_number": "270-827-7558",
            "fax_number": "270-827-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202783",
            "telephone_number": "270-827-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-827-7700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "KY",
            "license": "100173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01012053",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://urldefense.proofpoint.com/v2/url?u=https-3A__cobiusconnect.cobius.com-3A8291_Gateway_DocumentSubmission_2-5F0_NhinService_XDRRequest-5FService&d=DwMFAg&c=e_HtEeZEQXP5NUOb33qoTj0AVvRFBS9_rhBTQcfkWoA&r=RPaHwOLb45N3rzuGaUaerDTLotpYMtdgSkh3ENgJKWA&m=lCZ4ZeB6jzdbZWTDEfFXiy0hl5f9CcY8BkL3YmQQfuA&s=jVDtKVRmeoq4DSCvx4guoD37hjWz6K7ZWS9g0or_-t4&e=",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Deaconess Henderson Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.