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NPI Code Detail

MEDICARE: JACKSON HOSPITAL CORPORATION

MEDICARE: JACKSON HOSPITAL CORPORATION
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
1261QC0050XCritical Access Hospital Clinic/Center
2282N00000XGeneral Acute Care Hospital100620KY
3282NC0060XCritical Access Hospital

General Provider Information

NPI Number : 1346247962
Entity Type Code : Organization
Provider Name (Legal Business Name) : JACKSON HOSPITAL CORPORATION
Provider Business Mailing Address
First Line : 540 JETTS DRIVE
Second Line :
City : JACKSON
State : KY
Zip : 41339-9622
Country : US
Telephone Number : 606-666-6000
Fax Number : 606-666-6102
Provider Business Practice Location Address
First Line : 540 JETT DR
Second Line :
City : JACKSON
State : KY
Zip : 41339-9622
Country : US
Telephone Number : 606-666-6000
Fax Number : 606-666-6102
Authorized Official
Title or Position : SVP FINANCE OPERATIONS
Name : RANDY MICHAEL COOPER
Credential :
Telephone Number : 615-221-3840
Provider Enumeration Date : 06/29/2005
Last Update Date : 12/19/2024

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JACKSON, KY
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Practice Fax:
1679774996 — JACKSON HOSPITAL CORPORATION
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JACKSON, KY
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1083804041 — DR. AARON WILLIAM JOHNSON D.O.
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Directions to “JACKSON HOSPITAL CORPORATION ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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