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
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	600054	KY
2	363L00000X	Nurse Practitioner	600054	KY
3	363A00000X	Physician Assistant	600054	KY
4	282NC0060X	Critical Access Hospital	600054	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265490171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JMHC INC

Provider Business Mailing Address
First Line	:	2325 CONCRETE RD
Second Line	:
City	:	CARLISLE
State	:	KY
Zip	:	40311-9700
Country	:	US
Telephone Number	:	859-289-7181
Fax Number	:	859-289-4323

Provider Business Practice Location Address
First Line	:	2325 CONCRETE RD
Second Line	:
City	:	CARLISLE
State	:	KY
Zip	:	40311-9721
Country	:	US
Telephone Number	:	859-289-7181
Fax Number	:	859-289-7510

Authorized Official
Title or Position	:	CEO
Name	:	MS. SANDY BAILEY
Credential	:
Telephone Number	:	859-289-7181

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	10/29/2013

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Directions to “JMHC INC ” Practice Location

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