ISLAND MEDICAL HENDERSON LLC
NPI 1619490778
Emergency Medicine in Henderson, KY

Q: What is Island Medical Henderson LLC's NPI number?

The NPI number for Island Medical Henderson LLC is 1619490778. It was assigned to this organization in the NPPES registry on July 20, 2017.

Q: What is Island Medical Henderson LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since July 20, 2017

1305 N ELM ST, HENDERSON, KY 42420(406) 862-3002 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2020, Sep 3, 2019, Jan 12, 2019 and 2 more (5 updates tracked since 2017).

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About Island Medical Henderson Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISLAND MEDICAL HENDERSON LLC (NPI 1619490778) is a healthcare organization registered as an emergency medicine in Henderson, Kentucky and active in the NPI registry since July 2017. The organization lists Michaelamy Charley, Chief Legal Officer, as its authorized official.

NPPES Registry Identity

NPI1619490778

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameISLAND MEDICAL HENDERSON LLC

Location Address1305 N ELM STHenderson, KY 42420-2783

Mailing Address12420 Milestone Center Dr Ste 200Germantown, MD 20876-7111 · (240) 686-2300

Phone(406) 862-3002

Organization SubpartNo

Authorized OfficialMichaelamy CharleyChief Legal Officer · (240) 686-2300

Enumeration DateJuly 20, 2017

Last NPPES UpdateJune 3, 20205 updates tracked since enumeration

NPPES CertifiedJune 3, 2020

✔ NPI 1619490778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

1305 N ELM ST, Henderson, KY 42420

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ERIN LYNN MONROE R.N.

Registered Nurse (Medical-Surgical)