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KENTUCKY RIVER MEDICAL CENTER
NPI 1295985596
Medicare Defined Swing Bed Unit in Jackson, KY

Active since September 23, 2008CLIA 18D0648584 · Accreditation
540 JETT DR, JACKSON, KY 41339(606) 666-6000 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kentucky River Medical Center NPPES

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

KENTUCKY RIVER MEDICAL CENTER (NPI 1295985596) is a healthcare organization registered as a medicare defined swing bed unit in Jackson, Kentucky and active in the NPI registry since September 2008. The organization holds an CLIA Accreditation certificate valid through June 22, 2028 and lists Randy Michael Cooper, Svp Finance Op/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1295985596
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameJACKSON HOSPITAL CORPORATION
Location Address540 JETT DRJackson, KY 41339-9622
Mailing Address540 Jett DrJackson, KY 41339-9622 · (606) 666-6000
Phone(606) 666-6000
Organization SubpartYes
Authorized OfficialRandy Michael CooperSvp Finance Op/authorized Official · (615) 221-3840
Enumeration DateSeptember 23, 2008
Last NPPES UpdateAugust 11, 2020
NPPES CertifiedAugust 11, 2020
✔ NPI 1295985596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
License✔ Licensed in KY · 100620
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
540 JETT DR, Jackson, KY 41339
Open in Google Maps ↗

Other Names 1

Doing Business AsKentucky River Medical Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 18D0648584

Kentucky River Medical Center Main Lab · Jackson, KY
Active · expires Jun 22, 2028
CLIA Number18D0648584
Laboratory TypeHospital
Certificate Effective DateJune 23, 2026
Certificate Expiration DateJune 22, 2028
Laboratory DirectorJessica Howard
Laboratory Phone(606) 666-4971
Laboratory LocationKentucky River Medical Center Main Lab540 Jett Drive, Jackson, KY 41339
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTNEY DENISE HERALD FNP
Nurse Practitioner (Family)
540 JETT DR
JACKSON, KY 41339
Breathitt County (606) 666-6000
JACKSON PHYSICIAN CORP
Durable Medical Equipment & Medical Supplies
540 JETT DR
JACKSON, KY 41339
Breathitt County (606) 666-6300
DR. AARON WILLIAM JOHNSON D.O.
Internal Medicine
540 JETT DR
JACKSON, KY 41339
Breathitt County (606) 666-6479
JACKSON WOMENS CARE
Obstetrics & Gynecology (Gynecology)
540 JETT DR
JACKSON, KY 41339
Breathitt County (606) 666-6240
SOUND PHYSICIANS ANESTHESIOLOGY OF KENTUCKY PSC
Nurse Anesthetist, Certified Registered
540 JETT DR
JACKSON, KY 41339
Breathitt County (606) 666-6000
KENTUCKY RIVER HBP LLC
Radiology (Diagnostic Radiology)
540 JETT DR
JACKSON, KY 41339
Breathitt County (606) 666-6479
ADVANCED SURGICAL SPECIALISTS OF KY, PLLC
Surgery
540 JETT DR
JACKSON, KY 41339
Breathitt County (606) 666-7777
WHITAKER NATIONAL CORPORATION
Emergency Medicine
540 JETT DR
JACKSON, KY 41339
Breathitt County (606) 666-6000

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 Jackson Hospital Corporation's NPI number?

The NPI number for Jackson Hospital Corporation is 1295985596. It was assigned to this organization in the NPPES registry on September 23, 2008. The provider is doing business as Kentucky River Medical Center.

Where is Jackson Hospital Corporation located?

Jackson Hospital Corporation is located at 540 Jett Dr, Jackson, KY 41339. The listed phone number is (606) 666-6000.

What is Jackson Hospital Corporation's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

Does Jackson Hospital Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 18D0648584) is associated with this NPI, valid through June 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jackson Hospital Corporation was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.