Jennifer L Mccoy (NPI# 1982878773, PAC ID# 6709901812) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
Nation Provider ID (NPI) | 1982878773 |
PAC ID by PECOS | 6709901812 |
Professional Enrollment ID | I20100913001180 |
Full Name | Jennifer L Mccoy |
Organization Legal Name | LEWIS COUNTY HOSPITAL DISTRICT 1 |
Address |
108 Kindle Rd Randle WA 98377-9209 |
Phone Number | 3604973333 |
Gender | F |
Graduation Year | 1985 |
Primary Specialty | EMERGENCY MEDICINE |
Secondary Specialties | FAMILY PRACTICE |
Group Practice PAC ID | 6002727385 |
Number of Group Practice Members | 10 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
501319 | MORTON GENERAL HOSPITAL |
500019 | PROVIDENCE CENTRALIA HOSPITAL |
Address | Phone | Organization |
---|---|---|
745 Williams St, Mossyrock, WA 98564-9004 | 3609838990 | LEWIS COUNTY HOSPITAL DISTRICT 1 |
108 Kindle Rd, Randle, WA 98377-9209 | 3604973333 | LEWIS COUNTY HOSPITAL DISTRICT 1 |
Organization Legal Name | LEWIS COUNTY HOSPITAL DISTRICT 1 |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kevin W Mccurry | Emergency Medicine | Lewis County Hospital District 1 | 745 Williams St, Mossyrock, WA 98564-9004 |
Street Address |
108 KINDLE RD |
City | RANDLE |
State | WA |
Zip | 98377-9209 |
Name | Specialty | Organization | Address |
---|---|---|---|
Robin A Rice | Physician Assistant | Lewis County Hospital District No. 1 | 108 Kindle Rd, Randle, WA 98377-9209 |
James H Keene | Internal Medicine | Lewis County Hospital District No. 1 | 108 Kindle Rd, Randle, WA 98377-9209 |
Jessica J Jajesnica | Nurse Practitioner | Lewis County Hospital District No. 1 | 108 Kindle Rd, Randle, WA 98377-9209 |
Layne Schnider | Physician Assistant | Lewis County Hospital District No. 1 | 108 Kindle Rd, Randle, WA 98377-9209 |
City | RANDLE |
Zip Code | 98377 |
Specialty | EMERGENCY MEDICINE |
City + Specialty | RANDLE + EMERGENCY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.