JACKSON WOMENS CARE; NPI #1114134814

Contact Information

JACKSON WOMENS CARE

540 JETT DR
JACKSON, KY 41339-9622

Phone: 606-666-6240
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Gynecology	207VG0400X	16	Physician/Obstetrics & Gynecology

Indicates primary specialty

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NPI Profile & details for JACKSON WOMENS CARE

NPI # 1114134814

LBN Legal business name JACKSON WOMENS CARE

Authorized official LORETTA CAMPBELL - (CLINIC COORDINATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/16/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

KY	License #	21623
KY	Medicaid	65926974

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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JACKSON WOMENS CARE

Contact Information

Specialty

Gynecology

NPI Profile & details for JACKSON WOMENS CARE

Reviews for JACKSON WOMENS CARE