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AARON JONAN MEMORIAL CLINIC
NPI 1477569226
Clinic/Center - Rural Health in Jackson, KY

Active since August 01, 2006CLIA 18D0862338 · Waiver
832 HIGHWAY 15 N, JACKSON, KY 41339(606) 666-5142(606) 666-4172 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 9, 2023, Sep 20, 2017 (2 updates tracked since 2017).

About Aaron Jonan Memorial Clinic NPPES

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

AARON JONAN MEMORIAL CLINIC (NPI 1477569226) is a healthcare organization registered as a rural health in Jackson, Kentucky and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through January 31, 2027 and lists Djien So, Administrator/access Manager, as its authorized official.

NPPES Registry Identity

NPI1477569226
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameAARON K. JONAN MEMORIAL CLINIC INC.
Location Address832 HIGHWAY 15 NJackson, KY 41339-8284
Mailing Address832 Highway 15 NJackson, KY 41339-8284 · (606) 666-5142 · Fax (606) 666-4172
Phone(606) 666-5142
Fax(606) 666-4172
Organization SubpartNo
Authorized OfficialDjien SoAdministrator/access Manager · (606) 794-5600
Enumeration DateAugust 1, 2006
Last NPPES UpdateMay 9, 20232 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
✔ NPI 1477569226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in KY · 900029
Also ListedPediatricsTaxonomy 208000000X · License 43629 (KY)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3006826 (KY)
832 HIGHWAY 15 N, Jackson, KY 41339
Open in Google Maps ↗

Other Names 1

Doing Business AsAaron Jonan Memorial Clinic

Other Identifiers 1

Medicaid7100336880KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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 Waiver 18D0862338

Aaron K Jonan Memorial Clinic · Jackson, KY
Active · expires Jan 31, 2027
CLIA Number18D0862338
Laboratory TypeRural Health Clinic
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorDr. Leonor E. Pagtakhan-So
Laboratory Phone(606) 666-5142
Laboratory LocationAaron K Jonan Memorial Clinic832 Hwy 15 North, Jackson, KY 41339
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

MRS. EDNA ELIZABETH WILLIAMS APRN
Nurse Practitioner (Family)
832 HIGHWAY 15 N
JACKSON, KY 41339
Breathitt County (606) 666-5142
BETTY FAYE NOBLE NP-C
Nurse Practitioner (Family)
832 HIGHWAY 15 N
JACKSON, KY 41339
Breathitt County (606) 666-5142
JACKSON ORTHOPEDIC AND SPINE CLINIC
Orthopaedic Surgery
832 HIGHWAY 15 N
JACKSON, KY 41339
Breathitt County (606) 568-9921
JERRI CAMPBELL NP
Nurse Practitioner (Family)
832 HIGHWAY 15 N
JACKSON, KY 41339
Breathitt County (606) 666-5142
CYNTHIA PRATHER BELL APRN
Nurse Practitioner (Family)
832 HIGHWAY 15 N
JACKSON, KY 41339
Breathitt County (606) 666-5142
STACY ROBERTSON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
832 HIGHWAY 15 N
JACKSON, KY 41339
Breathitt County (606) 666-5142

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 Aaron K. Jonan Memorial Clinic Inc.'s NPI number?

The NPI number for Aaron K. Jonan Memorial Clinic Inc. is 1477569226. It was assigned to this organization in the NPPES registry on August 1, 2006. The provider is doing business as Aaron Jonan Memorial Clinic.

Where is Aaron K. Jonan Memorial Clinic Inc. located?

Aaron K. Jonan Memorial Clinic Inc. is located at 832 Highway 15 N, Jackson, KY 41339. The listed phone number is (606) 666-5142.

What is Aaron K. Jonan Memorial Clinic Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Aaron K. Jonan Memorial Clinic Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0862338) is associated with this NPI, valid through January 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Aaron K. Jonan Memorial Clinic Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Aaron K. Jonan Memorial Clinic Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Aaron K. Jonan Memorial Clinic Inc. was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.