Organization
JESSAMINE CHRISTIAN HEALTHCARE, INC.
Active
Other names
Jessamine Christian Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY DAVID WILLIAMS (BUSINESS DIRECTOR)
(859) 858-9355
Entity
Organization
Contact information
Practice address
200 RICE ST, WILMORE, KY 40390-1359
(859) 858-9355
(859) 858-0416
Mailing address
200 RICE ST, WILMORE, KY 40390-1359
(859) 858-9355
(859) 858-0416
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
31991
KY
207R00000X
Internal Medicine Physician
Primary
34906
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000052187
DR. COBURN ANTHEM #
KY
01
—
000000191189
DR. HUFFMAN ANTHEM #
KY
01
—
10305
DR. COBURN CHA #
KY
01
—
2614700
DR. HUFFMAN'S AETNA PPO
KY
01
—
3843156
DR. COBURN'S CIGNA #
KY
01
—
5842674
DR. COBURN AETNA PPO #
KY
05
—
64029648
—
KY
05
—
64319916
—
KY
05
—
65932030
—
KY
01
—
72935
DR. COBURN AETNA HMO #
KY
Enumeration date
03/06/2007
Last updated
09/11/2025
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