Organization
EMHFL, INC
Active
Other names
Fort Logan Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE JACKSON (PRESIDENT)
(606) 365-4771
Entity
Organization
Contact information
Practice address
124 PORTMAN AVE, STANFORD, KY 40484-1230
(859) 239-1000
Mailing address
PO BOX 1108, DANVILLE, KY 40423-1108
(859) 239-1000
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
600066
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12700563
—
KY
Enumeration date
01/26/2007
Last updated
05/21/2008
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