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Contact Information

AARON K. JONAN MEMORIAL CLINIC INC.
832 HIGHWAY 15 N
JACKSON, KY41339-8284
 Phone: 606-666-5142
 Fax: 606-666-4172
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Family

363LF0000X 50 Nurse Practitioner
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for AARON K. JONAN MEMORIAL CLINIC INC.

NPI Number 1477569226
LBN Legal business name AARON K. JONAN MEMORIAL CLINIC INC.
Authorized official DJIEN SO - (ADMINISTRATOR/ACCESS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/01/2006
Last updated 05/09/2023 - About 3 years ago
Identifiers
KY License # 3006826
KY License # 43629
KY License # 900029
KY Medicaid 7100336880
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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