JACKSON HOSPITAL CORPORATION NPI 1679774996

NPI Information

  • NPI: 1679774996
  • Provider Name: JACKSON HOSPITAL CORPORATION
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Organization
  • Doing Business As: KENTUCKY RIVER ER, ANESTH, RADIOLOGY
  • Address: 540 JETT DR
    JACKSON, KY
    ZIP 41339
  • Phone: (606) 666-6000

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NPI Details

JACKSON HOSPITAL CORPORATION is an emergency medicine in Jackson, KY. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. JACKSON HOSPITAL CORPORATION NPI is 1679774996. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kentucky River Er, Anesth, Radiology.

The provider's business location address is:

540 JETT DR
JACKSON, KY
ZIP 41339-622
Phone: (606) 666-6000
Fax: (606) 666-6107

The provider's authorized official is Debbie T Brewer .
The authorized official title is Director and has the following contact phone number (877) 892-9813.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 6/26/2008.

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
1207L00000XAnesthesiologyNo
22085R0202XRadiologyDiagnostic RadiologyNo
3367500000XNurse Anesthetist, Certified RegisteredNo
4207P00000XEmergency 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16084MEDICARE PINKENTUCKY
265938276MEDICAIDKENTUCKY
374900580MEDICAIDKENTUCKY

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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