Organization
JENNIE STUART MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC ALAN LEE (PRESIDENT / CEO)
(270) 887-0100
Entity
Organization
Contact information
Practice address
320 W 18TH ST, HOPKINSVILLE, KY 42240-1965
(270) 887-0100
(270) 887-9266
Mailing address
PO BOX 2400, 320 W 18TH ST, HOPKINSVILLE, KY 42241-2400
(270) 887-0100
(270) 887-9266
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
6593432500
KY
207RC0000X
Cardiovascular Disease Physician
65939332
KY
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
65941742
KY
2086S0122X
Plastic and Reconstructive Surgery Physician
78903788
KY
208M00000X
Hospitalist Physician
7100104890
KY
282N00000X
General Acute Care Hospital
Primary
100068
KY
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LN0000X
Neonatal Nurse Practitioner
—
—
364SF0001X
Family Health Clinical Nurse Specialist
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054549
BLUE CROSS PROVIDER
KY
01
—
000000212362
BLUE CROSS PHYSICIAN
KY
05
—
01010859
—
KY
01
—
039724400
KENTUCKY BLACK LUNG
KY
05
—
1066495
—
KY
01
—
163067200
US DEPT OF LABOR
KY
05
—
6593432500
—
KY
05
—
65939332
—
KY
05
—
65941742
—
KY
05
—
7100104890
—
KY
05
—
78903788
—
KY
Enumeration date
07/29/2005
Last updated
04/09/2025
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