Organization Name: | MUHLENBERG MEDICAL PROPERTY VI LLC |
NPI Number: | 1679721823 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS RANDALL POWELL (CEO) |
Mailing Address: | 1010 Medical Center Dr Powderly |
State: | KY US |
Postal Code: | 423675463 |
Phone Number: | 2703771600 |
Fax Number: | 2703380229 |
NPI Enumeration Date: | 08/29/2008 |
NPI Last Update Date: | 08/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RM1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
Taxonomy Definition: |