Organization
JACKSON HOSPITAL CORPORATION
Active
Other names
Kentucky River Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY MICHAEL COOPER (SVP FINANCE OPERATIONS)
(615) 221-3840
Entity
Organization
Contact information
Practice address
540 JETT DR, JACKSON, KY 41339-9622
(606) 666-6000
(606) 666-6102
Mailing address
540 JETTS DRIVE, JACKSON, KY 41339-9622
(606) 666-6000
(606) 666-6102
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
—
—
282N00000X
General Acute Care Hospital
100620
KY
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Enumeration date
06/29/2005
Last updated
12/19/2024
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