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ST. JOHN NEUMANN'S EXTENDED HOURS CLINIC NPI 1003004912


NPI Profile

NPI: 1003004912
Provider Name: ST. JOHN NEUMANN'S EXTENDED HOURS CLINIC
Classification:Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1389 HIGHWAY 15 NORTH
JACKSON, KY
ZIP 41339
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Phone: (606) 666-4011

ST. JOHN NEUMANN'S EXTENDED HOURS CLINIC is a family medicine in Jackson, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ST. JOHN NEUMANN'S EXTENDED HOURS CLINIC NPI is 1003004912. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1389 HIGHWAY 15 NORTH
JACKSON, KY
ZIP 41339
Phone: (606) 666-4011
Fax: (606) 666-5801

The provider's authorized official is Theresa Merced .
The authorized official title is Office Manager and has the following contact phone number (606) 666-4011.

The enumeration date for this NPI number is 10/5/2007 and was last updated on 10/5/2007.


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 MedicineKY24420KENTUCKYYes

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: 9/12/2021

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