JACKSON HOSPITAL CORPORATION NPI 1295985596

NPI Information

  • NPI: 1295985596
  • Provider Name: JACKSON HOSPITAL CORPORATION
  • Classification: Medicare Defined Swing Bed Unit - 275N00000X
  • Entity Type: Organization
  • Doing Business As: KENTUCKY RIVER MEDICAL CENTER
  • Address: 540 JETT DR
    JACKSON, KY
    ZIP 41339
  • Phone: (606) 666-6000

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NPI Details

JACKSON HOSPITAL CORPORATION is a medicare defined swing bed unit in Jackson, KY. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. JACKSON HOSPITAL CORPORATION NPI is 1295985596. The provider is registered as an organization entity type.
The provider Is Doing Business As Kentucky River Medical Center.

The provider's business location address is:

540 JETT DR
JACKSON, KY
ZIP 41339-622
Phone: (606) 666-6000

The provider's authorized official is Randy Michael Cooper .
The authorized official title is Svp Finance Op/authorized Official and has the following contact phone number (615) 221-3840.

The enumeration date for this NPI number is 9/23/2008 and was last updated on 8/11/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1275N00000XMedicare Defined Swing Bed Unit100620KENTUCKYYes

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: 11/21/2025

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