Jennifer L Mccoy
LEWIS COUNTY HOSPITAL DISTRICT 1


Address: 108 Kindle Rd, Randle, WA 98377-9209
Phone: 3604973333

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.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
501319 MORTON GENERAL HOSPITAL
500019 PROVIDENCE CENTRALIA HOSPITAL

Other Locations

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 Information

Organization Legal Name LEWIS COUNTY HOSPITAL DISTRICT 1
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Kevin W Mccurry Emergency Medicine Lewis County Hospital District 1 745 Williams St, Mossyrock, WA 98564-9004

Office Location

Street Address 108 KINDLE RD
City RANDLE
State WA
Zip 98377-9209

Physicians in the same location

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

Competitor

Search similar physicians

City RANDLE
Zip Code 98377
Specialty EMERGENCY MEDICINE
City + Specialty RANDLE + EMERGENCY MEDICINE

Improve Information

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Dataset Information

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.

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