| Jackson Purchase Medical Center | |
|
1099 Medical Center Cir Mayfield KY 42066-1159 | |
| (270) 251-4100 | |
| Not Available |
| Full Name | Jackson Purchase Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1099 Medical Center Cir, Mayfield, Kentucky |
| Authorized Official Name and Position | Terrance Dillon (ASSISTANT SECRETARY) |
| Authorized Official Contact | 5025967220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Purchase Medical Center 330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | Jackson Purchase Medical Center 1099 Medical Center Cir Mayfield KY 42066-1159 Ph: (270) 251-4100 |
| NPI Number | 1659777514 |
|---|---|
| Provider Enumeration Date | 11/05/2014 |
| Last Update Date | 04/25/2022 |
| Certification Date | 04/25/2022 |
| Medicare PECOS PAC ID | 9638190515 |
|---|---|
| Medicare Enrollment ID | O20150130001123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659777514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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