# OUR LADY OF THE WAY HOSPITAL, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OUR LADY OF THE WAY HOSPITAL, INC
- **Other names:** Our Lady of the Way Hospital, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255357364
- **Legal business name:** OUR LADY OF THE WAY HOSPITAL, INC
- **Authorized official:** MRS. KATHY STUMBO (CEO)
- **Authorized official phone:** (606) 285-6400

## Contact information

- **Practice address:** 11203 MAIN STREET, MARTIN, KY 41649-0910
- **Practice address phone:** (606) 285-6400
- **Practice address fax:** (606) 285-6629
- **Mailing address:** P.O BOX 910, MARTIN, KY 41649-0910
- **Mailing address phone:** (606) 285-6400
- **Mailing address fax:** (606) 285-6629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 05/15/2009