KENTUCKY RIVER MEDICAL CENTER – NPI #1346247962
General Acute Care Hospital

KENTUCKY RIVER MEDICAL CENTER is a general acute care hospital located in JACKSON, KY. NPPES has assigned the NPI number 1346247962 to KENTUCKY RIVER MEDICAL CENTER on June 29, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KENTUCKY RIVER MEDICAL CENTER” is a dba name, the actual legal business name for this organization is JACKSON HOSPITAL CORPORATION. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was last updated on Dec 19, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENTUCKY RIVER MEDICAL CENTER below.

NPI Profile for
JACKSON HOSPITAL CORPORATION

NPI Number
1346247962
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JACKSON HOSPITAL CORPORATION
Doing Business As (dba): KENTUCKY RIVER MEDICAL CENTER
Primary location
540 JETT DR
JACKSON, KY 41339-9622
Phone: (606) 666-6000 Fax: (606) 666-6102
Mailing address
540 JETTS DRIVE
JACKSON, KY 41339-9622
Phone: (606) 666-6000 Fax: (606) 666-6102
Organization Subpart
No
Authorized Official
RANDY COOPER
SVP FINANCE OPERATIONS
Phone: (615) 221-3840
Updated
Certification Date
Dec 19, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)
282N00000X
- General Acute Care Hospital		 KY 100620
261QC0050X
- Clinic/Center / Critical Access Hospital

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.