Methodist Health, Inc.
Organization Active NPI Pediatrics Physician · Henderson, KY
NPI 1639334261 · NPPES record last updated Jan 21, 2020
Key facts
- NPI
- 1639334261
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- METHODIST HEALTH, INC.
- Practice address
- 2000 N Elm St
Suite 1B
Henderson, KY 42420 - Phone
- (270) 844-8144
- Fax
- (270) 844-8145
- NPI assigned
- Jul 23, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Benny J Nolen
- Title
- Ceo
- Phone
- (270) 827-7500
Other NPIs on the same Medicare enrollment 24
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes | ||
| Family Nurse Practitioner |
363LF0000X | |||
| Pediatric Nurse Practitioner |
363LP0200X |
Addresses
Primary practice location
2000 N Elm St
Suite 1B
Henderson, KY 42420
Mailing address
PO Box 638706
Cincinnati, OH 45263-8706
Phone (270) 827-7558
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100244590 | Medicaid | KY | |
| 7100057700 | Medicaid | KY |
Other names
- Methodist Pediatrics
Other providers in Henderson, KY
- Methodist Health, Inc.
- Methodist Health, Inc.
- 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 Henderson, KY · Pediatrics 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 Jan 21, 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.