Organization
JENNIE STUART MEDICAL CENTER INC
Active
Organization
JENNIE STUART MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUTUMN BAILEY (DIRECTOR OF PFS AND MANAGED CARE)
(270) 887-0100
Entity
Organization
Contact information
Practice address
10755 EAGLE WAY STE 202, HOPKINSVILLE, KY 42240-8742
(270) 887-5640
Mailing address
PO BOX 632626, CINCINNATI, OH 45263-2626
(812) 450-6815
(912) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
08/30/2022
Last updated
05/04/2026
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