Organization
FAIRVIEW PHYSICIANS NETWORK LLC
Active
Organization
FAIRVIEW PHYSICIANS NETWORK LLC
Active
Parent organization
JENNIE STUART MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
JENNIE STUART MEDICAL CENTER
Authorized official
AUTUMN BAILEY (MANAGED CARE DIRECTOR)
(270) 887-0100
Entity
Organization
Contact information
Practice address
102 W 18TH ST, HOPKINSVILLE, KY 42240-1961
(270) 707-2100
(270) 707-2103
Mailing address
102 W 18TH ST, HOPKINSVILLE, KY 42240-1961
(270) 707-2100
(270) 707-2103
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
207RX0202X
Medical Oncology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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