# JACKSON HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JACKSON HOSPITAL CORPORATION
- **Other names:** Campton Rural Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750626339
- **Legal business name:** JACKSON HOSPITAL CORPORATION
- **Authorized official:** BRIAN A PEOPLES (VP PHYSICIAN OPERATIONS)
- **Authorized official phone:** (615) 465-7585

## Contact information

- **Practice address:** 49 KY 15 N, CAMPTON, KY 41301-7284
- **Practice address phone:** (606) 668-9841
- **Practice address fax:** (606) 668-7730
- **Mailing address:** PO BOX 689022, FRANKLIN, TN 37068-9022
- **Mailing address phone:** (615) 465-7000
- **Mailing address fax:** (615) 465-3007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | KY | Yes |
| 207R00000X | Internal Medicine Physician | — | KY | — |
| 207RC0000X | Cardiovascular Disease Physician | — | KY | — |

## Other

- **Enumeration date:** 12/07/2012
- **Last updated:** 02/08/2013