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JACKSON HEALTHCARE
NPI 1639359565
General Practice in Shelbyville, KY

Active since November 08, 2007
148 MIDLAND BLVD, SHELBYVILLE, KY 40065(502) 647-1958(502) 647-1940 Get Directions Write a Review

NPPES record last updated: November 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackson Healthcare NPPES

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

JACKSON HEALTHCARE (NPI 1639359565) is a healthcare organization registered as a general practice in Shelbyville, Kentucky and active in the NPI registry since November 2007. The organization lists William J Jackson, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1639359565
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameJACKSON HEALTHCARE
Location Address148 MIDLAND BLVDShelbyville, KY 40065-9734
Mailing Address148 Midland BlvdShelbyville, KY 40065-9734 · (502) 647-1958 · Fax (502) 647-1940
Phone(502) 647-1958
Fax(502) 647-1940
Organization SubpartNo
Authorized OfficialWilliam J JacksonOwner/doctor · (502) 647-1958
Enumeration DateNovember 8, 2007
✔ NPI 1639359565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in KY · 18425
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
148 MIDLAND BLVD, Shelbyville, KY 40065
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Other Identifiers 2

Medicare PIN7470KY
Medicare PIN0747001KY

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

Other Providers at the Same Location NPPES

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

DR. WILLIAM J JACKSON MD
Family Medicine
148 MIDLAND BLVD
SHELBYVILLE, KY 40065
Shelby County (502) 647-1958

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 Healthcare's NPI number?

The NPI number for Jackson Healthcare is 1639359565. It was assigned to this organization in the NPPES registry on November 8, 2007.

Where is Jackson Healthcare located?

Jackson Healthcare is located at 148 Midland Blvd, Shelbyville, KY 40065. The listed phone number is (502) 647-1958.

What is Jackson Healthcare's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jackson Healthcare was last updated on November 8, 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.