Organization
METHODIST HEALTH, INC.
Active
Other names
Deaconess Henderson Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JENKINS (VP)
(270) 827-7118
Entity
Organization
Contact information
Practice address
1305 N ELM ST, SUITE G, HENDERSON, KY 42420-2783
(270) 826-0002
(270) 826-0003
Mailing address
PO BOX 638706, CINCINNATI, OH 45263-8706
(270) 827-7558
(270) 827-7530
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100162760
—
KY
Enumeration date
04/06/2011
Last updated
11/17/2020
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