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NPI Code Detail

MEDICARE: JMHC INC

MEDICARE: JMHC INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR1300XRural Health Clinic/Center600054KY

General Provider Information

NPI Number : 1093042038
Entity Type Code : Organization
Provider Name (Legal Business Name) : JMHC INC
Provider Business Mailing Address
First Line : 2330 CONCRETE RD
Second Line :
City : CARLISLE
State : KY
Zip : 40311-9700
Country : US
Telephone Number : 859-289-2212
Fax Number : 859-289-7510
Provider Business Practice Location Address
First Line : 2330 CONCRETE RD
Second Line :
City : CARLISLE
State : KY
Zip : 40311-9700
Country : US
Telephone Number : 859-289-2212
Fax Number : 859-289-7510
Authorized Official
Title or Position : COO
Name : MS. SANDY BAILEY
Credential :
Telephone Number : 859-289-7181
Provider Enumeration Date : 11/12/2009
Last Update Date : 05/29/2013

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Directions to “JMHC INC ” Practice Location

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