Organization
COMMUNITY UNITED METHODIST HOSPITAL, INC.
Active
Other names
Methodist Hospital Professional Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENNY J NOLEN (CEO)
(270) 827-7501
Entity
Organization
Contact information
Practice address
1305 N ELM ST, HENDERSON, KY 42420-2783
(270) 631-2412
(270) 827-7475
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65935546
—
KY
01
—
CA2394
RAILROAD MEDICARE
—
Enumeration date
01/25/2006
Last updated
03/08/2017
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