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Organization

COUNTY LINE PRIMARY CARE

Active
Other names
Jackson Medical Clinic Family Health Care
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA ANN NEACE (APRN)
(606) 824-5037
Entity
Organization

Contact information

Practice address
1550 HIGHWAY 15 S STE 240, JACKSON, KY 41339-0709
(606) 568-1184
(606) 824-5042
Mailing address
41 JOHN MACO DR, JACKSON, KY 41339-6515
(606) 568-1184

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
02/28/2018
Last updated
02/24/2022
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