# JACKSON HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JACKSON HOSPITAL CORPORATION
- **Other names:** BEATTYVILLE FAMILY MEDICAL CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992044747
- **Legal business name:** JACKSON HOSPITAL CORPORATION
- **Authorized official:** LAURA J FEY (SR. DIRECTOR PHYSICIAN PRACTICE REV)
- **Authorized official phone:** (615) 221-3641

## Contact information

- **Practice address:** 1027 HIGHWAY 11 N, BEATTYVILLE, KY 41311-9240
- **Practice address phone:** (606) 464-0061
- **Practice address fax:** (606) 464-0420
- **Mailing address:** 1573 MALLORY LN STE 100, BRENTWOOD, TN 37027-2895
- **Mailing address phone:** (152) 221-1400
- **Mailing address fax:** (615) 465-3007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | KY | — |
| 207R00000X | Internal Medicine Physician | — | KY | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2013
- **Last updated:** 07/07/2023