Healthcare Provider Details

I. General information

NPI: 1275752081
Provider Name (Legal Business Name): JENKINS HEALTHCARE COMPANY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9480 HIGHWAY 805
JENKINS KY
41537
US

IV. Provider business mailing address

PO BOX 472
JENKINS KY
41537-0472
US

V. Phone/Fax

Practice location:
  • Phone: 606-832-2171
  • Fax: 606-832-2943
Mailing address:
  • Phone: 606-832-2171
  • Fax: 606-832-2943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2802
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number21770
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number32197
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberTP946
License Number StateKY
# 5
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number18888
License Number StateKY
# 6
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number2790P
License Number StateKY
# 7
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number39768
License Number StateKY

VIII. Authorized Official

Name: SHERRIE NEWCOMB
Title or Position: ADMINISTRATOR
Credential:
Phone: 606-832-2171