ST. JOHN NEUMANN'S EXTENDED HOURS CLINIC
NPI 1003004912
Family Medicine in Jackson, KY

Q: What is St. John Neumann's Extended Hours Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since October 05, 2007

1389 HIGHWAY 15 NORTH, JACKSON, KY 41339(606) 666-4011(606) 666-5801 Get Directions Write a Review

NPPES record last updated: October 5, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About St. John Neumann's Extended Hours Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. JOHN NEUMANN'S EXTENDED HOURS CLINIC (NPI 1003004912) is a healthcare organization registered as a family medicine in Jackson, Kentucky and active in the NPI registry since October 2007. The organization lists Theresa Merced, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1003004912

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameST. JOHN NEUMANN'S EXTENDED HOURS CLINIC

Location Address1389 HIGHWAY 15 NORTHJackson, KY 41339

Mailing AddressPo Box 606Jackson, KY 41339-0606 · (606) 666-4011 · Fax (606) 666-5801

Phone(606) 666-4011

Fax(606) 666-5801

Organization SubpartNo

Authorized OfficialTheresa MercedOffice Manager · (606) 666-4011

Enumeration DateOctober 5, 2007

✔ NPI 1003004912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · KY24420

Definition

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.

1389 HIGHWAY 15 NORTH, Jackson, KY 41339

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. John Neumann's Extended Hours Clinic's NPI number?

The NPI number for St. John Neumann's Extended Hours Clinic is 1003004912. It was assigned to this organization in the NPPES registry on October 5, 2007.

Where is St. John Neumann's Extended Hours Clinic located?

St. John Neumann's Extended Hours Clinic is located at 1389 Highway 15 North, Jackson, KY 41339. The listed phone number is (606) 666-4011.

What is St. John Neumann's Extended Hours Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for St. John Neumann's Extended Hours Clinic was last updated on October 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.