Organization
CAVERNA MEMORIAL HOSPITAL, INC.
Active
Other names
CMH-Munfordville Physician Office
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN ALEXANDER (CEO)
(270) 786-2191
Entity
Organization
Contact information
Practice address
1134 MAIN ST, MUNFORDVILLE, KY 42765-9432
(270) 524-3641
(270) 524-7595
Mailing address
PO BOX 340, MUNFORDVILLE, KY 42765-0340
(270) 524-3641
(270) 524-7595
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
600065
KY
207R00000X
Internal Medicine Physician
600065
KY
261QR1300X
Rural Health Clinic/Center
Primary
900223
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100092020
—
KY
Enumeration date
08/29/2006
Last updated
09/19/2014
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