Provider Demographics
NPI:1508063892
Name:JENKINS HEALTHCARE COMPANY
Entity Type:Organization
Organization Name:JENKINS HEALTHCARE COMPANY
Other - Org Name:JENKINS COMMUNITY HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCIAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:NEWSOME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-832-2171
Mailing Address - Street 1:PO BOX 472
Mailing Address - Street 2:9480 HIGHWAY 805
Mailing Address - City:JENKINS
Mailing Address - State:KY
Mailing Address - Zip Code:41537-0472
Mailing Address - Country:US
Mailing Address - Phone:606-832-2171
Mailing Address - Fax:606-832-2943
Practice Address - Street 1:9480 HIGHWAY 805
Practice Address - Street 2:
Practice Address - City:JENKINS
Practice Address - State:KY
Practice Address - Zip Code:41537
Practice Address - Country:US
Practice Address - Phone:606-832-2171
Practice Address - Fax:606-832-2943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY600075275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS18Z326OtherSWING BED PROVIDER NUMBER