Organization
OUR LADY OF THE WAY HOSPITAL, INC
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
Legal business name
OUR LADY OF THE WAY HOSPITAL, INC
Authorized official
MRS. KATHY STUMBO (CEO)
(606) 285-6400
Entity
Organization
Contact information
Practice address
11203 MAIN STREET, MARTIN, KY 41649-0910
(606) 285-6400
(606) 285-6629
Mailing address
P.O BOX 910, MARTIN, KY 41649-0910
(606) 285-6400
(606) 285-6629
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65927568
—
KY
Enumeration date
07/14/2006
Last updated
05/15/2009
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