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

NPI Status: Active since September 23, 2008

Contact Information

540 JETT DR
JACKSON, KY
ZIP 41339
Phone: (606) 666-6000

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  • Organization
  • Medicare Defined Swing Bed Unit
  • CLIA Number: 18D0648584
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 06-22-2026

About KENTUCKY RIVER MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Kentucky River Medical Center, a provider established in Jackson, Kentucky operating as a Medicare Defined Swing Bed Unit. The healthcare provider is registered in the NPI registry with number 1295985596 assigned on September 2008. The practitioner's primary taxonomy code is 275N00000X with license number 100620 (KY). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Kentucky River Medical Center. The authorized official of this NPI record is Randy Michael Cooper (Svp Finance Op/authorized Official)

NPI
1295985596
Provider Legal Name
JACKSON HOSPITAL CORPORATION
Other Organization Name
KENTUCKY RIVER MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
540 JETT DR JACKSON, KY 41339
Location Phone
(606) 666-6000
Mailing Address
540 JETT DR JACKSON, KY 41339
Mailing Phone
(606) 666-6000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-23-2008
Last Update Date
08-11-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Medicare Defined Swing Bed Unit

Taxonomy Code
275N00000X
Type
Hospital Units
License No.
100620
License State
KY
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RANDY MICHAEL COOPER

Authorized Official Title
SVP FINANCE OP/AUTHORIZED OFFICIAL
Authorized Official Phone
(615) 221-3840

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D0648584
Facility Type
Hospital
Certificate Effective Date
June 23, 2024
Certificate Expiration Date
June 22, 2026
Laboratory Director
JESSICA HOWARD
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Kentucky River Medical Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1295985596, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 8 + 5 + 1 + 8 + 8 + 1 + 0 + 5 + 1 + 8 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1295985596.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Obstetrics & Gynecology (Gynecology)
540 JETT DR
JACKSON, KY 41339
Emergency Medicine
540 JETT DR
JACKSON, KY 41339
Durable Medical Equipment & Medical Supplies
540 JETT DR
JACKSON, KY 41339
Internal Medicine
540 JETT DR
JACKSON, KY 41339
Surgery
540 JETT DR
JACKSON, KY 41339
Physician Assistant
540 JETT DR
JACKSON, KY 41339
General Practice
540 JETT DR
JACKSON, KY 41339
Emergency Medicine
540 JETT DR
JACKSON, KY 41339
Nurse Practitioner (Family)
540 JETT DR
JACKSON, KY 41339
Obstetrics & Gynecology (Gynecology)
540 JETT DR
JACKSON, KY 41339
Emergency Medicine
540 JETT DR
JACKSON, KY 41339
Nurse Practitioner (Family)
540 JETT DR
JACKSON, KY 41339
Radiology (Diagnostic Radiology)
540 JETT DR
JACKSON, KY 41339
General Acute Care Hospital (Critical Access)
540 JETT DR
JACKSON, KY 41339
Nurse Anesthetist, Certified Registered
540 JETT DR
JACKSON, KY 41339
Emergency Medicine
540 JETT DR
JACKSON, KY 41339
General Acute Care Hospital (Critical Access)
540 JETT DR
JACKSON, KY 41339
Emergency Medicine
540 JETT DR
JACKSON, KY 41339

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295985596, enumerated as an "organization" on September 23, 2008.

The provider is located at 540 JETT DR JACKSON, KY 41339 and the phone number is (606) 666-6000.

Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.