Organization
MEADOWVIEW REGIONAL MEDICAL CENTER LLC
Active
Other names
Meadowview Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM M. GRACEY (CHIEF OPERATING OFFICER)
(615) 372-8500
Entity
Organization
Contact information
Practice address
989 MEDICAL PARK DR, MAYSVILLE, KY 41056-8750
(606) 759-5311
Mailing address
103 POWELL CT, SUITE 200, BRENTWOOD, TN 37027-5079
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01000116
—
KY
05
—
09824274
—
KY
05
—
1000165
—
KY
05
—
12700597
—
KY
Enumeration date
04/24/2007
Last updated
08/22/2020
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