Organization
JACKSON HOSPITAL CORPORATION
Active
Parent organization
JACKSON HOSPITAL CORPORATION
Other names
Kentucky River ER, Anesth, Radiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON HOSPITAL CORPORATION
Authorized official
DEBBIE T BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
540 JETT DR, JACKSON, KY 41339-9622
(606) 666-6000
(606) 666-6107
Mailing address
540 JETT DR, JACKSON, KY 41339-9622
(606) 666-6000
(606) 666-6107
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65938276
—
KY
05
—
74900580
—
KY
Enumeration date
05/31/2007
Last updated
06/26/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us