Organization
PINELAKE REGIONAL HOSPITAL LLC
Active
Parent organization
PINELAKE REGIONAL HOSPITAL LLC
Other names
Jackson Purchase Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINELAKE REGIONAL HOSPITAL LLC
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7688
Entity
Organization
Contact information
Practice address
1099 MEDICAL CENTER CIR, MAYFIELD, KY 42066-1159
(270) 251-4100
(270) 251-4507
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8913
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000352746
—
KY
05
—
12700597
—
KY
Enumeration date
10/04/2006
Last updated
01/15/2026
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