NPI | 1679718100 |
---|---|
Doing Business As | DEACONESS HENDERSON HOSPITAL PROVIDERS |
Entity Type | Organization |
Authorized Contact | STEPHANIE JENKINS VP 270-827-7118 |
Organization Subpart ? | No |
Primary Taxonomy | 208M00000X Hospitalist |
Additional Taxonomies | 207P00000X Emergency Medicine |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
207RC0000X Internal Medicine, Cardiovascular Disease | |
207RP1001X Internal Medicine, Pulmonary Disease | |
207RS0012X Internal Medicine, Sleep Medicine | |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
2085R0202X Radiology, Diagnostic Radiology | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
363LA2100X Nurse Practitioner, Acute Care | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2008-12-12 |
Last Update Date | 2021-02-02 |