Organization
CAVERNA MEMORIAL HOSPITAL, INC.
Active
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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