=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578424289
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JANE TODD PRIMARY CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/21/2025
-----------------------------------------------------
Last Update Date | 12/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 440 CAMPBELLSVILLE ROAD SUITE 102
-----------------------------------------------------
City | GREENSBURG
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 42743
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 270-932-4211
-----------------------------------------------------
Fax | 270-932-2160
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 290 INDUSTRIAL PARK RD
-----------------------------------------------------
City | GREENSBURG
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 42743-1400
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 270-932-4211
-----------------------------------------------------
Fax | 270-932-2160
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ASSISTANT CEO
-----------------------------------------------------
Name | CINDA MEYER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 270-378-1371
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QR1300X
-----------------------------------------------------
Taxonomy Name | Rural Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------