Deaconess Union County Hospital, Inc
Organization Active NPI Critical Access Hospital · Morganfield, KY
NPI 1497320519 · NPPES record last updated Jul 22, 2021
Key facts
- NPI
- 1497320519
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- Legal business name
- DEACONESS UNION COUNTY HOSPITAL, INC
- Practice address
- 4604 US Highway 60 W
Morganfield, KY 42437-6515 - Phone
- (270) 389-5000
- NPI assigned
- May 21, 2021
- Organization subpart
- No
Authorized official
- Name
- Cheryl Annette Wathen
- Title
- Cfo
- Phone
- (812) 450-3296
Owners & managing parties with NPI records 4
-
William Allen White, M.D.
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 5
Member of 1
Facilities with the same owner 35
Practitioners 35
-
William H Clapp, M.D.
-
Macy Lura Thompson Clevidence, APRN FNP-C
-
Shara E Mills, APRN
-
Theresa Kaye Peek, APRN
-
Jonathon Rogers, MD
-
Sarah M Bickett, PA-C
-
Wendy Jo Lucas, APRN
-
Karen Goldie, FNP-C
-
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
-
Sheri Dawn Montgomery, M.D.
-
William Rafael Sanchez, M.D.
-
Maribel Alvarado, NP
-
Wilson Cesar Cueva, M.D.
-
Jeffery S Deacon, DPM
-
Kevin Lloyd Diehl, D.O.
Affiliated clinicians 120
-
Khwaja Mubeen Ahmad, M.D.
-
Sridhar Banuru, MD
-
Sarah M Bickett, PA-C
-
Kelly Shawn Brauer, M.D.
-
Kimberly Ann Burrow, APRN
-
Leon Everett Butler Jr., M.D.
-
Amber B Catlin, APRN
-
Christina Cole Chumley, APRN
-
William H Clapp, M.D.
-
Macy Lura Thompson Clevidence, APRN FNP-C
-
Kelly L Cole, D.O.
-
Jill Patterson Eickhoff, M.D.
-
James M Fellows, MD
-
David Wayne French, M.D.
-
Necia Jo Garrett, APRN
-
Andrea H. Gay, APRN
-
Samuel Gerhardt, DO
-
James Bradley Gish, APRN
-
Carl Brent Gray, NP
-
Katie Hagan, NP
-
Jared Hall, APRN
Medicare Care Compare: Hospital
- Listed as
- Methodist Hospital Union County
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Church
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY
Hospital certification: CCN 18Z306
- Legal name
- DEACONESS UNION COUNTY HOSPITAL, INC
- Doing business as
- DEACONESS UNION COUNTY HOSPITAL
- Organization structure
- Corporation · Non-profit
- Incorporated
- Mar 12, 2021 in KY
- Enrollment address
- 4604 US Highway 60 W
Morganfield, KY 42437-6515
Hospital certification: CCN 181306
- Legal name
- DEACONESS UNION COUNTY HOSPITAL, INC
- Doing business as
- DEACONESS UNION COUNTY HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Jan 1, 2001
- Last certification
- Sep 25, 2001
- Beds
- 25
- Ownership / control type
- Church
- Organization structure
- Corporation · Non-profit
- Incorporated
- Mar 12, 2020 in KY
- Enrollment address
- 4604 US Highway 60 W
Morganfield, KY 42437-6515
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| William a White |
Corporate Director |
Oct 1, 2021 | |
| Adam O'Nan |
Corporate Director |
Oct 1, 2021 | |
| Marc J Florence |
Corporate Director |
Oct 1, 2021 | |
| Patricia Sheffer |
Corporate Director |
Oct 1, 2021 | |
| Deaconess Health System Inc |
Operational/Managerial Control | Jul 1, 2020 | |
| Operational/Managerial Control | Jul 1, 2020 | 100% | |
| Ryan Rose |
Corporate Director |
Oct 1, 2021 | |
| Greg Moore |
Corporate Officer |
Mar 1, 2023 | |
| W-2 Managing Employee |
Mar 1, 2023 | ||
| Shawn W McCoy |
Operational/Managerial Control |
Oct 1, 2021 | |
| Operational/Managerial Control |
Oct 1, 2021 | ||
| Deaconess Health Kentucky Inc |
5% Or Greater Direct Ownership Interest | Oct 1, 2021 | 100% |
| 5% Or Greater Direct Ownership Interest | Jul 1, 2020 | 100% | |
| Tessa Gough |
Corporate Director |
Oct 1, 2021 | |
| Amber N Powell |
Corporate Director | Nov 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211012000485 | KY | Part a Provider - Critical Access Hospital | 5799189866 | Practice locations: Morganfield, KY |
| O20211020001822 | KY | Part a Provider - Critical Access Hospital | 5799189866 | Practice locations: Morganfield, KY |
National Provider Directory
- Tax ID family
- Deaconess Union County Hospital Inc
Locations
517 N Main St
Rm 22
Anna, IL 62906
Phone (618) 833-2295
7100 Eagle Crest Blvd
Evansville, IN 47715
1284 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-2323
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | |||
| Critical Access Hospital | 282NC0060X | Yes |
Addresses
Primary practice location
4604 US Highway 60 W
Morganfield, KY 42437-6515
Mailing address
4604 US Highway 60 W
Morganfield, KY 42437-6515
Phone (270) 389-5000
Other providers in Morganfield, KY
- 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
- E. a. Resources, Inc.
All providers in Morganfield, KY · Critical Access Hospital in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.