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 | |
Jackson Medical Clinic Family Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1550 Highway 15 S Ste 240, Jackson, KY 41339 Phone: 606-568-1184 Fax: 606-824-5042 | |
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 |