Organization
METHODIST HEALTH, INC.
Active
Other names
Methodist Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENNY J NOLEN (CEO)
(270) 827-7500
Entity
Organization
Contact information
Practice address
2000 N ELM ST, SUITE 1B, HENDERSON, KY 42420
(270) 844-8144
(270) 844-8145
Mailing address
PO BOX 638706, CINCINNATI, OH 45263-8706
(270) 827-7558
(270) 827-7530
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100057700
—
KY
05
—
7100244590
—
KY
Enumeration date
07/23/2008
Last updated
01/21/2020
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