National Provider Identifier Database

JENNIE STUART MEDICAL CENTER
Plastic and Reconstructive Surgery


Contact Information

JENNIE STUART MEDICAL CENTER
320 W 18TH ST
HOPKINSVILLE, KY42240-1965
Phone: 270-887-0100
Fax: 270-887-0425
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for JENNIE STUART MEDICAL CENTER

NPI Number 1144372749
Legal business name
LBN
JENNIE STUART MEDICAL CENTER
Authorized official DONNA RUSSELL - (DIRECTOR PATIENT FINANCIAL SERVICES)
Entity Organization
Organization subpart No
Enumeration date 01/17/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • KY Medicaid: 6594174200
  • KY Other: 000000212362 BC PROVIDER NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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