Organization
METHODIST HEALTH, INC.
Active
Other names
Deaconess Henderson Surgical Services
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JENKINS (VP)
(270) 827-7118
Entity
Organization
Contact information
Practice address
1413 N ELM ST, SUITE 204, HENDERSON, KY 42420-2768
(270) 830-9973
(270) 830-9975
Mailing address
PO BOX 638706, CINCINNATI, OH 45263-8706
(270) 827-7558
(270) 827-7530
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100152600
—
KY
Enumeration date
09/02/2010
Last updated
08/10/2023
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