JAMESTOWN HEALTHCARE CLINIC, LLC


Address: 1417 N. Main St, Jamestown, KY 42629
Phone: 2703432597

JAMESTOWN HEALTHCARE CLINIC, LLC (NPI# 1588989008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588989008
Entity Type Organization
Organization Name JAMESTOWN HEALTHCARE CLINIC, LLC
Practice Address 1417 N. Main St
Jamestown
KY 42629
Mailing Address Po Box 966
Jamestown
KY 42629-0966
Practice Telephone 2703432597
Practice Fax Number 2703432598
Mailing Telephone 2703432597
Mailing Fax Number 2703432598
Enumeration Date 2010-03-29
Last Update Date 2010-03-29
Authorized Official Name JERRY W LAWSON (OWNER, PRESIDENT)
Authorized Official Telephone 2703432597
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 5260P KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 65944381 05

Office Location

Street Address 1417 N. MAIN ST
City JAMESTOWN
State KY
Zip Code 42629

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023400124 Vickie Robertson Registered Nurse 119 Herriford Curve Rd, Jamestown, KY 42629 2015-02-26
1821314733 Kristin Holly Adams Pharmacist 1417 N. Main St., Jamestown, KY 42629 2010-04-16
1801079660 Lynda K Heath Nurse Practitioner 119 Hereford Curve Rd, Jamestown, KY 42629 2007-12-14
1609064831 Julene Hopper Counselor 119 Hereford Curve Road, Jamestown, KY 42629 2007-10-12
1114059375 Lisa Ann Helm Speech-Language Pathologist 70 Forest Hill Drive, Jamestown, KY 42629 2007-03-12
1235268723 Jamestown Valu-rite Pharmacy Durable Medical Equipment & Medical Supplies 1417 North Main Street, Suite A, Jamestown, KY 42629 2007-03-02
1972642361 Russell County Board of Education Local Education Agency (LEA) 404 S Main Street, Jamestown, KY 42629 2007-02-05
1508942749 Melanie K Loy Flanagan Dentist 43 Fruit of The Loom Drive, Jamestown, KY 42629 2006-10-31
1891881413 Jeffrey Louis Warner Pharmacist 1417 N. Main Street, Suite A, Jamestown, KY 42629 2006-10-04
1639121965 Angela Feese Social Worker Highway 127 South, Jamestown, KY 42629 2006-05-16
Find all providers in zip 42629

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801079660 Lynda K Heath Nurse Practitioner 119 Hereford Curve Rd, Jamestown, KY 42629 2007-12-14
1548362502 Kara A Falk Nurse Practitioner 721 A 1st Ave S, Jamestown, ND 58401-4723 2006-09-01
1346262839 Patricia Dardis Nurse Practitioner 520 3rd Ave Nw, Jamestown, ND 58401-3016 2006-07-24
1841211125 Rose Ann R Flick Nurse Practitioner 880 E 2nd St, Jamestown, NY 14701-3824 2006-07-21
1922062710 Beverly A Szukis Nurse Practitioner 1538 Harbor Springs Rd, Jamestown, KY 42629-7970 2006-04-17
1871580506 Susan K Jordan Nurse Practitioner 4940 Cottonville Rd, Suite 100, Jamestown, OH 45335-1522 2005-09-27
1891781696 Grenetta L Ritenour Nurse Practitioner 4940 Cottonville Rd Ste 100, Jamestown, OH 45335-1522 2005-09-27
1609873843 Kathryn N. Westall Nurse Practitioner 20 Southwest Ave, Jamestown, RI 02835-1120 2005-07-01
1891392122 Amy Jo Caldwell Nurse Practitioner 1684 Foote Avenue Ext, Jamestown, NY 14701-9385 2020-10-09
1518511625 Amber Dawn Clapp Nurse Practitioner 604 W Main St, Jamestown, NC 27282-9515 2019-07-26
Find all providers in JAMESTOWN

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City JAMESTOWN
Zip Code 42629

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Dataset Information

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.

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