| St. John Neumann's Extended Hours Clinic | |
|
1389 Highway 15 North Jackson KY 41339 | |
| (606) 666-4011 | |
| (606) 666-5801 |
| Full Name | St. John Neumann's Extended Hours Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1389 Highway 15 North, Jackson, Kentucky |
| Authorized Official Name and Position | Theresa Merced (OFFICE MANAGER) |
| Authorized Official Contact | 6066664011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. John Neumann's Extended Hours Clinic Po Box 606 Jackson KY 41339-0606 Ph: (606) 666-4011 | St. John Neumann's Extended Hours Clinic 1389 Highway 15 North Jackson KY 41339 Ph: (606) 666-4011 |
| NPI Number | 1003004912 |
|---|---|
| Provider Enumeration Date | 10/05/2007 |
| Last Update Date | 10/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003004912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | KY24420 (Kentucky) | Primary |
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