# JENNIE STUART MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Convenient Care Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164589842
- **Authorized official:** DONNA RUSSELL (DIRECTOR PATIENT FINANCIAL SERVICES)
- **Authorized official phone:** (270) 887-0100

## Contact information

- **Practice address:** 320 W 18TH ST, HOPKINSVILLE, KY 42240-1965
- **Practice address phone:** (270) 887-0100
- **Practice address fax:** (270) 887-0425
- **Mailing address:** PO BOX 2400, HOPKINSVILLE, KY 42241-2400
- **Mailing address phone:** (270) 887-0100
- **Mailing address fax:** (270) 887-0425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 08/22/2020