JACKSON HOSPITAL CORPORATION (NPI# 1083950414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083950414 |
| Entity Type | Organization |
| Organization Name | JACKSON HOSPITAL CORPORATION |
| Other Organization Name | BEATTYVILLE FAMILY MEDICAL CLINIC |
| Practice Address |
1027 Highway 11 N Beattyville KY 41311-9240 |
| Mailing Address |
Po Box 689022 Franklin TN 37068-9022 |
| Practice Telephone | 6064640061 |
| Practice Fax Number | 6064640420 |
| Mailing Telephone | 8007097338 |
| Mailing Fax Number | 6154696505 |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2020-09-03 |
| Authorized Official Name | RANDY MICHAEL COOPER (SVP FINANCE OPERATIONS) |
| Authorized Official Telephone | 6152213840 |
| Is Organization Subpart | Y |
| Parent Organization Name | JACKSON HOSPITAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
100620 | KY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Beattyville Family Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912518978 | Jackson Hospital Corporation | Clinic/Center | 424 Jett Dr, Jackson, KY 41339-9621 | 2020-08-13 |
| 1992044747 | Jackson Hospital Corporation | Internal Medicine | 1027 Highway 11 N, Beattyville, KY 41311-9240 | 2013-02-13 |
| 1417293846 | Jackson Hospital Corporation | Clinic/Center | 49 Ky 15 N, Campton, KY 41301-7284 | 2012-12-12 |
| 1750626339 | Jackson Hospital Corporation | Internal Medicine | 49 Ky 15 N, Campton, KY 41301-7284 | 2012-12-07 |
| 1295985596 | Jackson Hospital Corporation | Medicare Defined Swing Bed Unit | 540 Jett Dr, Jackson, KY 41339-9622 | 2008-09-23 |
| 1679774996 | Jackson Hospital Corporation | Anesthesiology | 540 Jett Dr, Jackson, KY 41339-9622 | 2007-05-31 |
| 1346247962 | Jackson Hospital Corporation | General Acute Care Hospital | 540 Jett Dr, Jackson, KY 41339-9622 | 2005-06-29 |
| Street Address |
1027 HIGHWAY 11 N |
| City | BEATTYVILLE |
| State | KY |
| Zip Code | 41311-9240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992044747 | Jackson Hospital Corporation | Internal Medicine | 1027 Highway 11 N, Beattyville, KY 41311-9240 | 2013-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669083051 | Summer Rochelle Shuler | Nurse Practitioner | 1025 Grand Avenue, Beattyville, KY 41311 | 2020-08-11 |
| 1760950380 | C. Napier Ambulance | Ambulance | 17 Willard Johnson Ln, Beattyville, KY 41311 | 2018-11-13 |
| 1245705052 | Caylon Napier | Emergency Medicine | 76 Willard Ln, Beattyville, KY 41311 | 2018-10-08 |
| 1548602501 | Lindsey Kincaid Barrett | Nurse Practitioner | 1027 Highway 11 North, Beattyville, KY 41311 | 2013-07-19 |
| 1598034944 | Kimberly Dianne Dunaway | Contractor | 160 Marcum, Beattyville, KY 41311 | 2011-12-14 |
| 1699071480 | William Jerome Gay | Family Medicine | 1027 Hwy 11 North, Beattyville, KY 41311 | 2011-01-27 |
| 1629309034 | Barbara Dawn Sparks | Physical Therapy Assistant | 28 Railroad Street, Suite B, Beattyville, KY 41311 | 2010-01-25 |
| 1568694933 | Rosemary C Smith | Pharmacist | 1075 Broadway St., Beattyville, KY 41311 | 2009-08-18 |
| 1326273491 | April Rooks | Counselor | 1060 Grand Avenue, Beattyville, KY 41311 | 2009-05-19 |
| 1245471119 | Amy S Jones | Physical Therapist | 28 Railroad St., Suite B, Beattyville, KY 41311 | 2009-03-23 |
| Find all providers in zip 41311 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609151471 | Mercy Health Clinics, LLC | Clinic/Center | 1025 Grand Ave, Beattyville, KY 41311-0000 | 2011-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072757 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 302 Walnut Street, Pineville, KY 40977 | 2020-10-28 |
| 1316553167 | Flaget Healthcare Inc | Clinic/Center | 2387 Main St, Willisburg, KY 40078-8102 | 2020-09-17 |
| 1710590880 | Flaget Healthcare, Inc | Clinic/Center | 4359 Shepherdsville Road, Ste 255, Bardstown, KY 40004 | 2020-08-28 |
| 1649881335 | Emerald Therapy Center, LLC | Clinic/Center | 111 Poplar St, Murray, KY 42071-2571 | 2020-08-14 |
| 1407472319 | Family Health Care Associates 7 Limited Liability Company | Clinic/Center | 422 N Highway 27, Whitley City, KY 42653 | 2020-06-17 |
| 1154950699 | Family Health Care Associates 6 Limited Liability Company | Clinic/Center | 8070 Us Highway 60 W, Lewisport, KY 42351-7087 | 2020-04-06 |
| 1568098838 | Appalachian Regional Healthcare, Inc | Clinic/Center | 186 Breanna Blvd, Suite 100, Salyersville, KY 41465-7525 | 2020-03-19 |
| 1780217794 | Family Health Care Associates 5 Limited Liability Company | Clinic/Center | 74 H&b Partin Lane, Pineville, KY 40977 | 2020-02-18 |
| 1023649514 | Memorial Hospital Inc | Clinic/Center | 485 Memorial Dr Ste 1, Manchester, KY 40962-9111 | 2020-02-03 |
| 1265072946 | Baptist Health Medical Group Inc | Clinic/Center | 800 Hospital Dr Fl 2, Madisonville, KY 42431-1658 | 2020-01-10 |
| Find all providers with the same taxonomy | ||||
| City | BEATTYVILLE |
| Zip Code | 41311 |
Please comment or provide details below to improve the information on JACKSON HOSPITAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.