# SJL PHYSICIAN MANAGEMENT SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** dba Premier Heart & Vascular Centers ARNP Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174751259
- **Authorized official:** CARMEL JONES CPA (VP REVENUE CYCLE & BUSINESS SERVICE)
- **Authorized official phone:** (606) 877-3918

## Contact information

- **Practice address:** 1210 W 5TH ST, LONDON, KY 40741-2112
- **Practice address phone:** (606) 864-4040
- **Practice address fax:** (606) 864-3500
- **Mailing address:** PO BOX 2638, LONDON, KY 40743-2638
- **Mailing address phone:** (606) 864-8643
- **Mailing address fax:** (606) 877-1722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | KY | — |
| 363L00000X | Nurse Practitioner | — | KY | Yes |

## Other

- **Enumeration date:** 06/26/2009
- **Last updated:** 09/22/2009