Healthcare Provider Details

I. General information

NPI: 1790743607
Provider Name (Legal Business Name): JENKINS HEALTHCARE COMPANY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9480 HIGHWAY 805
JENKINS KY
41537-8182
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 TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number600075
License Number StateKY

VIII. Authorized Official

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