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Methodist Health, INC.

Pediatrics in Henderson, KY. Organization (NPI-2).

NPI number1457784126
StatusActive
Last updated in NPPESNov 17, 2020

Details

NPI
1457784126
Entity type
Organization (NPI-2)
Legal business name
Methodist Health, INC.
Organization subpart
No
Enumeration date
Aug 16, 2013
Certification date
Nov 17, 2020
Last updated
Nov 17, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics––Yes
363L00000X Nurse Practitioner––
363LF0000X Nurse Practitioner, Family––
363LP0200X Nurse Practitioner, Pediatrics––

Other names

  • Deaconess Henderson Pediatrics Elm St (Doing Business As)

Practice location

2000 N Elm St
Henderson, KY 42420-2385

Phone 270-827-3573 · Fax 270-827-1250

Mailing address

Po Box 638706
Cincinnati, OH 45263-8706

Phone 270-827-3573 · Fax 270-827-1250

Authorized official

Stephanie Jenkins
Vp
2708277118

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pediatrics Physician providers in Henderson, KY

All 17 Pediatrics Physician providers in Henderson · All 763 providers in Henderson

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