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T J HEALTH COLUMBIA INC NPI 1942666466


NPI Information

NPI: 1942666466
Provider Name: T J HEALTH COLUMBIA INC

Doing Business As: T J HEALTH COLUMBIA PRIMARY CARE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 18D0327048

Address:
810 JAMESTOWN ST
COLUMBIA, KY
ZIP 42728
Phone: (270) 384-4764
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T J HEALTH COLUMBIA INC is a rural health clinic center in Columbia, KY. T J HEALTH COLUMBIA INC NPI is 1942666466. The provider is registered as an organization entity type.
The provider Is Doing Business As T J Health Columbia Primary Care.

The provider's business location address is:

810 JAMESTOWN ST
COLUMBIA, KY
ZIP 42728-010
Phone: (270) 384-4764
Fax: (270) 384-2828

The provider's authorized official is Neil Thornbury .
The authorized official title is Ceo and has the following contact phone number (270) 651-4159.

The CLIA number assigned to this NPI record is 18D0327048 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/13/2016 and was last updated on 3/30/2023.


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
1261QR1300XClinic/CenterRural HealthKENTUCKYYes

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
17100444310MEDICAIDKENTUCKY

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.