Jackson Hospital Corporation

NPI #1679774996 in Jackson, Kentucky

Provider Information

NPI Number: 1679774996
Entity Type: Organization
Organization Name: Jackson Hospital Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: JACKSON HOSPITAL CORPORATION
Primary Specialty: Emergency Medicine
Enumeration Date: May 31, 2007
Last Updated: Jun 26, 2008

Practice Location

Address: 540 JETT DR
City: Jackson
State: Kentucky
ZIP Code: 41339-9622
Phone: (606) 666-6000

Authorized Official

Name: DEBBIE T BREWER
Title: DIRECTOR
Phone: (877) 892-9813

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X
Nurse Anesthetist, Certified Registered	367500000X
Emergency Medicine	207P00000X	Primary

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