JENNIE STUART MEDICAL CENTER (NPI# 1235139312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235139312 |
| Entity Type | Organization |
| Organization Name | JENNIE STUART MEDICAL CENTER |
| Practice Address |
320 W 18th St Hopkinsville KY 42240-1965 |
| Mailing Address |
Po Box 2400 320 W 18th St Hopkinsville KY 42241-2400 |
| Practice Telephone | 2708870100 |
| Practice Fax Number | 2708879266 |
| Mailing Telephone | 2708870100 |
| Mailing Fax Number | 2708879266 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | MR. ERIC ALAN LEE (PRESIDENT / CEO) |
| Authorized Official Telephone | 2708870100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 207Q00000X | Family Medicine | 6593432500 | KY | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
65939332 | KY | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | 65941742 | KY | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
78903788 | KY | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 7100104890 | KY | Allopathic & Osteopathic Physicians |
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 282N00000X | General Acute Care Hospital | 100068 | KY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | US DEPT OF LABOR | 163067200 | 01 |
| KY | 65941742 | 05 | |
| KY | 7100104890 | 05 | |
| KY | 01010859 | 05 | |
| KY | BLUE CROSS PROVIDER | 000000054549 | 01 |
| KY | 1066495 | 05 | |
| KY | BLUE CROSS PHYSICIAN | 000000212362 | 01 |
| KY | KENTUCKY BLACK LUNG | 039724400 | 01 |
| KY | 6593432500 | 05 | |
| KY | 65939332 | 05 | |
| KY | 78903788 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8250 Eagle Way, Hopkinsville, KY 422408750 | 2708856200 | 2708862393 |
| 110 Nick Terhune Dr, Hopkinsville, KY 422408722 | 2708878311 | 2708870439 |
| 10755 Eagle Way Ste 102, Hopkinsville, KY 422408742 | 2708861289 | 2708854713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538222500 | Jennie Stuart Medical Center | Home Health | 327 West 18th St, Suite D, Hopkinsville, KY 42240 | 2006-12-19 |
| 1487184453 | Jennie Stuart Medical Center | Psychiatric Unit | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2017-06-13 |
| 1790086767 | Jennie Stuart Medical Center | Physician Assistant | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2010-11-08 |
| 1750619045 | Jennie Stuart Medical Center | Hospitalist | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2009-11-24 |
| 1144372749 | Jennie Stuart Medical Center | Surgery | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2007-01-17 |
| 1740347244 | Jennie Stuart Medical Center | Internal Medicine | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2007-01-03 |
| 1205993920 | Jennie Stuart Medical Center | Surgery | 320 W 18th St, Hopkinsville, KY 42241-2400 | 2007-01-02 |
| 1164589842 | Jennie Stuart Medical Center | Family Medicine | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2007-01-02 |
| 1598708836 | Jennie Stuart Medical Center | Pharmacy | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2006-06-14 |
| Street Address |
320 W 18TH ST |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240-1965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487294070 | Pamala Hague | Pharmacist | 320 W 18th St, Hopkinsville, KY 42240-6304 | 2020-01-10 |
| 1336790260 | Amanda Rae Rogers | Registered Nurse | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2019-09-23 |
| 1982252748 | Elizabeth Gill | Nurse Practitioner | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2019-08-26 |
| 1497259576 | Danielle Craig Davis | Pharmacist | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2018-03-22 |
| 1548764699 | Ann Tach | Pharmacist | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2018-03-22 |
| 1598278087 | Dennis Dale Barnes Jr. | Nurse Practitioner | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2017-11-07 |
| 1487184453 | Jennie Stuart Medical Center | Psychiatric Unit | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2017-06-13 |
| 1518493840 | Sean Christopher Mullins | Internal Medicine | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2017-05-05 |
| 1073052015 | Timothy France | Pharmacist | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2017-02-22 |
| 1376091223 | Joshua B Allen | Emergency Medicine | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2016-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214264 | Joshua Brian Yates | Pharmacist | 320 West 18th Street, Hopkinsville, KY 42240 | 2020-01-10 |
| 1629540950 | John J Tomasic | Nurse Practitioner | Jennie Stuart Medical Center, 320 W 18th Street, Hopkinsville, KY 42240 | 2018-12-27 |
| 1669962866 | Jeri Lynn Richardson | Developmental Therapist | 119 Forbes Dr, Hopkinsville, KY 42240 | 2018-05-14 |
| 1619416039 | Esther Caro | Case Manager/Care Coordinator | 400a Hammond Plz, Hopkinsville, KY 42240 | 2017-02-17 |
| 1780126532 | Jennifer R. Koranyi | Social Worker | 737b North Dr, Hopkinsville, KY 42240 | 2016-11-10 |
| 1043760937 | Inspira Therapy | Speech-Language Pathologist | 1110 South Main Street, Suite B, Hopkinsville, KY 42240 | 2016-10-04 |
| 1689026049 | Judy Greene Dba Greene Physical Therapy Services | Physical Therapist | 1910 South Virginia Ste., Ste. 108, Hopkinsville, KY 42240 | 2016-07-11 |
| 1083094932 | Cornell Memory Center | Clinic/Center | 101 North Drive, Hopkinsville, KY 42240 | 2015-06-05 |
| 1679978746 | Maulik V Patel | Pharmacist | 2713 A Fort Campbell Blvd, Hopkinsville, KY 42240 | 2014-10-30 |
| 1245630896 | Haregewoin Ezezew Baye | Dentist | 300 Cool Water Ct, Hopkinsville, KY 42240 | 2014-09-02 |
| Find all providers in zip 42240 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033262993 | Jennie Stuart Satellite Pharmacy | General Acute Care Hospital | 1724 Kenton St, Hopkinsville, KY 42240-1981 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| 1295100113 | Jeffrey Joseph Curley | General Acute Care Hospital | 100 Academic Pkwy, Kcu Box 778, Grayson, KY 41143-2205 | 2015-12-03 |
| 1316296676 | St. Elizabeth Health Care | General Acute Care Hospital | 236 Wendel H Ford Blvd, Erlanger, KY 41018-1272 | 2012-09-02 |
| 1952623944 | Basem Attum | General Acute Care Hospital | 6315 Innisbrook Dr, Prospect, KY 40059-9285 | 2010-02-18 |
| 1376877555 | University of Kentucky Department of Radiology | General Acute Care Hospital | 740 S Limestone St Rm A125, Lexington, KY 40536-0001 | 2009-09-22 |
| 1073763801 | Jacalyn Vannessa Davis | General Acute Care Hospital | 709 E Madison St, Louisville, KY 40202-1629 | 2008-09-29 |
| 1972751469 | Mesa Medical Group | General Acute Care Hospital | 660 Irvin Rd, Danville, KY 40422-8897 | 2008-09-09 |
| 1821261967 | Ardenia Sanders-cleary | General Acute Care Hospital | 6880 Kentucky 3520, West Paducah, KY 42086-9531 | 2008-04-09 |
| 1427243880 | Bluegrass Speech Pathology,pllc | General Acute Care Hospital | 862 Cassidy Pike, Ewing, KY 41039 | 2007-09-10 |
| 1457553042 | Pattie A Clay Regional Medical Center | General Acute Care Hospital | 801 Eastern By-pass, Pharmacy Department, Richmond, KY 40475 | 2007-06-05 |
| Find all providers with the same taxonomy | ||||
| City | HOPKINSVILLE |
| Zip Code | 42240 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.