Provider Demographics
NPI:1376866038
Name:JONES MEDICAL CORP
Entity Type:Organization
Organization Name:JONES MEDICAL CORP
Other - Org Name:BRIDGEWATER MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAYNA
Authorized Official - Middle Name:ROBYN
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-927-8585
Mailing Address - Street 1:PO BOX 235
Mailing Address - Street 2:
Mailing Address - City:HAWESVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42348-0235
Mailing Address - Country:US
Mailing Address - Phone:270-927-8585
Mailing Address - Fax:270-927-8911
Practice Address - Street 1:35 JOSHUA LN
Practice Address - Street 2:
Practice Address - City:HAWESVILLE
Practice Address - State:KY
Practice Address - Zip Code:42348
Practice Address - Country:US
Practice Address - Phone:270-927-8585
Practice Address - Fax:270-927-8911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY42115207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty