Methodist Health, Inc.
Organization Active NPI Emergency Medicine Physician · Morganfield, KY
NPI 1346463692 · NPPES record last updated Nov 17, 2020
Key facts
- NPI
- 1346463692
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- METHODIST HEALTH, INC.
- Practice address
- 4604 US Highway 60 W
Morganfield, KY 42437 - Phone
- (270) 389-5000
- Fax
- (270) 389-5059
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Stephanie Jenkins
- Title
- VP
- Phone
- (270) 827-7118
Other NPIs on the same Medicare enrollment 24
Corporate family (same tax ID) 16
Practitioners 2
-
Vernon H Humbert Jr., M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031204000875 | KY | Part B Supplier - Clinic/Group Practice | 4981508454 |
Receives reassigned benefits from 127 practitioners 29 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Morganfield, KY; Henderson, KY; Dixon, KY |
National Provider Directory
- Tax ID family
- MH ER Physicains
Locations
411 Letcher St
Henderson, KY 42420
Phone (270) 830-6522
700 Martin Luther King Jr Ave
Henderson, KY 42420
Phone (270) 826-4800
1305 N Elm St
Ste D
Henderson, KY 42420
Phone (270) 830-9024
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Emergency Medical Services (Emergency Medicine) Physician |
207PE0004X | |||
| Cardiovascular Disease Physician |
207RC0000X | 600057 | KY | |
| Pulmonary Disease Physician |
207RP1001X | 600057 | KY | |
| Sleep Medicine (Internal Medicine) Physician |
207RS0012X | |||
| Neurology Physician |
2084N0400X | |||
| Surgery Physician |
208600000X | |||
| Hospitalist Physician |
208M00000X | |||
| Nurse Practitioner |
363L00000X | |||
| Acute Care Nurse Practitioner |
363LA2100X | |||
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
4604 US Highway 60 W
Morganfield, KY 42437
Mailing address
PO Box 638705
Cincinnati, OH 45263-8705
Phone (270) 827-7558
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65938904 | Medicaid | KY |
Other names
- Deaconess Union County Providers
Other providers in Morganfield, KY
- Katelyn McCord
- Molly Meacham
- Methodist Health, Inc.
- Methodist Health, Inc.
- Methodist Health, Inc.
- Methodist Health, Inc.
- Methodist Health, Inc.
- Methodist Health, Inc.
- Methodist Health, Inc.
- Methodist Health, Inc.
All providers in Morganfield, KY · Emergency Medicine 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 Nov 17, 2020. 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.