ST. JOHN NEUMANN'S EXTENDED HOURS CLINIC NPI 1003004912

Family Medicine

ST. JOHN NEUMANN'S EXTENDED HOURS CLINIC

St. John Neumann's Extended Hours Clinic is a family medicine in Jackson, KY. St. John Neumann's Extended Hours Clinic NPI is 1003004912. The provider's taxonomy code is 207Q00000X - Family Medicine. Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

NPI Profile Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

NPI: 1003004912
Provider Name: ST. JOHN NEUMANN'S EXTENDED HOURS CLINIC
NPI Entity Type: Organization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).

Is Sole Proprietor?: N/A
Is Organization Subpart?: No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Enumeration Date: 10-05-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date: 10-05-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.


Authorized Official Name: MRS. THERESA MERCED Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Title: OFFICE MANAGER
Authorized Official Phone: (606) 666-4011


Taxonomies


The taxonomy code defines the provider type, classification, and specialization. For individual NPIs the license data is associated to the taxonomy code.

Map Location


ST. JOHN NEUMANN'S EXTENDED HOURS CLINIC address is 1389 HIGHWAY 15 NORTH JACKSON, KY 41339 Get Directions