Organization
CAVERNA MEMORIAL HOSPITAL, INC.
Active
Other names
Caverna Memorial Hospital Physician Office
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN ALEXANDER (CEO)
(270) 786-2191
Entity
Organization
Contact information
Practice address
1495 S DIXIE ST, HORSE CAVE, KY 42749-1457
(270) 786-2372
(270) 786-2472
Mailing address
1495 S DIXIE ST, HORSE CAVE, KY 42749-1457
(270) 786-2372
(270) 786-2472
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
900232
KY
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65929382
—
KY
05
—
7100146250
—
KY
Enumeration date
06/13/2006
Last updated
09/19/2014
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