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JACKSON PURCHASE MEDICAL ASSOCIATES PSC NPI 1699850263


NPI Information

NPI: 1699850263
Provider Name: JACKSON PURCHASE MEDICAL ASSOCIATES, PSC
Classification: Legal Medicine - 173000000X
Entity Type: Organization
Address:
225 MEDICAL CENTER DR
SUITE 201
PADUCAH, KY
ZIP 42003
Phone: (270) 441-4200
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JACKSON PURCHASE MEDICAL ASSOCIATES, PSC is a legal medicine in Paducah, KY. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. JACKSON PURCHASE MEDICAL ASSOCIATES, PSC NPI is 1699850263. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

225 MEDICAL CENTER DR
SUITE 201
PADUCAH, KY
ZIP 42003
Phone: (270) 441-4200
Fax: (270) 441-4398

The provider's authorized official is Carmel Brown .
The authorized official title is Director Of Finance and has the following contact phone number (270) 538-5866.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 6/8/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
4207RN0300XInternal MedicineNephrologyNo
5208000000XPediatricsNo
6363A00000XPhysician AssistantNo
7363L00000XNurse PractitionerNo
8173000000XLegal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
165923831MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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