| 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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 |
| Medicare PECOS PAC ID | 1951574532 |
|---|---|
| Medicare Enrollment ID | O20111026000498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003004912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | KY24420 (Kentucky) | Primary |
| Provider Name | Pablo A Merced |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1770633182 PECOS PAC ID: 4486827060 Enrollment ID: I20111026000527 |
Clemente V. Zulueta, Jr., Md, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 95 Jackson Hts, Ste 201, Jackson, KY 41339 Phone: 606-693-1078 Fax: 606-693-1079 | |
Saint Mark's Family And Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 95 Jackson Hts, Jackson, KY 41339 Phone: 606-693-0199 Fax: 606-693-0299 | |
Kentucky River Physician Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 726 Highway 15 N, Suite 4, Jackson, KY 41339 Phone: 606-666-2545 Fax: 606-666-2621 | |
Kentucky River Clinics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 424 Jett Dr, Jackson, KY 41339 Phone: 606-666-6600 Fax: 606-693-0534 | |
Kentucky River Physician Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 424 Jett Dr, Jackson, KY 41339 Phone: 606-666-6600 Fax: 606-693-0534 | |
Family Medical Specialty Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12 Jackson Heights Drive, Family Medical & Specialty Clinic, Llc, Jackson, KY 41339 Phone: 606-693-0199 Fax: 606-666-9480 |