Deaconess Union County Hospital, Inc
Organization Active NPI Surgery Physician · Morganfield, KY
NPI 1376118570 · NPPES record last updated May 21, 2021
Key facts
- NPI
- 1376118570
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- DEACONESS UNION COUNTY HOSPITAL, INC
- Practice address
- 4604 US Highway 60 W
Morganfield, KY 42437-6515 - Phone
- (270) 389-5523
- Fax
- (270) 389-5526
- 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
Corporate family (same tax ID) 5
Practitioners 3
-
Shara E Mills, APRN
-
Sharon M Hubbard, CRNA
-
Kevin Whelan, CRNA
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 This NPI is an additional NPI on the 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 |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
4604 US Highway 60 W
Morganfield, KY 42437-6515
Mailing address
PO Box 638705
Cincinnati, OH 45263-8705
Phone (270) 389-5523
Other names
- Deaconess Union County Surgical Services
Other providers in Morganfield, KY
- 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
- Adel Dimassi
- E. a. Resources, Inc
All providers in Morganfield, KY · Surgery 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.