Jackson Purchase Medical Center

LBN: Pinelake Regional Hospital Llc
Jackson Purchase Medical Center is an health care organization with primary practice located at 1099 Medical Center Cir , Mayfield KY 42066-1159. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Hospitals / Rural. Hospitals / Rural is the primary health care specialty. Pinelake Regional Hospital Llc can be contacted via phone (270) 251-4100, or through Dillon, Terrance via phone (502) 596-7220.

Contact Information

Primary practice address
1099 Medical Center Cir Mayfield KY 42066-1159
Phone: (270) 251-4100
Fax: (270) 251-4507
Website:
Map and Directions
Authorized official contact:
Name: Dillon, Terrance
Phone: (502) 596-7220

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 100143 Kentucky
Hospitals / Rural 282NR1301X 100143 Kentucky

Profile Details

NPI number 1891892741
LBN Legal business name Pinelake Regional Hospital Llc
DBA Doing business as Jackson Purchase Medical Center
Authorized official Dillon, Terrance
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Apr 25th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891892741 NPPES
Kentucky Other 000000061925 BCBS REFERENCE LAB
Kentucky Other 000000055031 BCBS REFERENCE LAB
Kentucky MEDICAID 01000116 BCBS REFERENCE LAB
Kentucky Other 030016699 BCBS REFERENCE LAB
Kentucky Other 360503 BCBS REFERENCE LAB

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