COUNTY LINE PRIMARY CARE NPI 1609378132

NPI Information

  • NPI: 1609378132
  • Provider Name: COUNTY LINE PRIMARY CARE
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: JACKSON MEDICAL CLINIC FAMILY HEALTH CARE
  • CLIA Number: 18D2168359
  • Address: 1550 HIGHWAY 15 S STE 240
    JACKSON, KY
    ZIP 41339
  • Phone: (606) 568-1184

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NPI Details

COUNTY LINE PRIMARY CARE is a rural health clinic center in Jackson, KY. COUNTY LINE PRIMARY CARE NPI is 1609378132. The provider is registered as an organization entity type.
The provider Is Doing Business As Jackson Medical Clinic Family Health Care.

The provider's business location address is:

1550 HIGHWAY 15 S STE 240
JACKSON, KY
ZIP 41339-709
Phone: (606) 568-1184
Fax: (606) 824-5042

The provider's authorized official is Jessica Ann Neace .
The authorized official title is Aprn and has the following contact phone number (606) 824-5037.

The CLIA number assigned to this NPI record is 18D2168359 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2018 and was last updated on 2/24/2022.

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
1261QR1300XClinic/CenterRural HealthYes

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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