Organization
FAIRVIEW PHYSICIANS NETWORK, LLC
Active
Parent organization
JENNIE STUART MEDICAL CENTER
Other names
Jennie Stuart Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
JENNIE STUART MEDICAL CENTER
Authorized official
ERIC LEE (CEO/PRESIDENT)
(270) 887-0100
Entity
Organization
Contact information
Practice address
222 W 18TH ST, HOPKINSVILLE, KY 42240-1963
(270) 886-4625
(270) 886-6619
Mailing address
102 W 18TH ST, HOPKINSVILLE, KY 42240-1961
(270) 707-2100
(270) 707-2103
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2016
Last updated
12/11/2019
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