Organization
JACKSON HOSPITAL CORPORATION
Active
Organization
JACKSON HOSPITAL CORPORATION
Active
Parent organization
JACKSON HOSPITAL CORPORATION
Other names
Kentucky River Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON HOSPITAL CORPORATION
Authorized official
RANDY MICHAEL COOPER (SVP FINANCE OP/AUTHORIZED OFFICIAL)
(615) 221-3840
Entity
Organization
Contact information
Practice address
540 JETT DR, JACKSON, KY 41339-9622
(606) 666-6000
Mailing address
540 JETT DR, JACKSON, KY 41339-9622
(606) 666-6000
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
100620
KY
Other
Enumeration date
09/23/2008
Last updated
08/11/2020
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