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Organization
JACKSON HOSPITAL CORPORATION
Active
Organization
JACKSON HOSPITAL CORPORATION
Active
Parent organization
JACKSON HOSPITAL CORPORATION
Other names
BEATTYVILLE FAMILY MEDICAL CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON HOSPITAL CORPORATION
Authorized official
LAURA J FEY (SR. DIRECTOR PHYSICIAN PRACTICE REV)
(615) 221-3641
Entity
Organization
Contact information
Practice address
1027 HIGHWAY 11 N, BEATTYVILLE, KY 41311-9240
(606) 464-0061
(606) 464-0420
Mailing address
1573 MALLORY LN STE 100, BRENTWOOD, TN 37027-2895
(152) 221-1400
(615) 465-3007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
KY
207R00000X
Internal Medicine Physician
—
KY
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/13/2013
Last updated
07/07/2023
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