Organization
JENNIE STUART MEDICAL CENTER
Active
Other names
JENNIE STUART MEDICAL CENTER HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC A LEE (PRESIDENT & CEO)
(270) 887-0221
Entity
Organization
Contact information
Practice address
327 WEST 18TH ST, SUITE D, HOPKINSVILLE, KY 42240
(270) 887-0118
(270) 887-6822
Mailing address
320 W 18TH ST, PO BOX 2400, HOPKINSVILLE, KY 42240-1965
(270) 887-0118
(270) 887-6822
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
150072
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054548
ANTHEM BCBS
KY
05
—
34002246
—
KY
Enumeration date
12/19/2006
Last updated
08/13/2014
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