Jones Medical Corp
Organization Active NPI Rural Health Clinic/Center · Sacramento, KY
NPI 1144526435 · NPPES record last updated Aug 19, 2020
Key facts
- NPI
- 1144526435
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- JONES MEDICAL CORP
- Practice address
- 760 Main St
Sacramento, KY 42372-9405 - Phone
- (270) 736-2444
- Fax
- (270) 736-2442
- NPI assigned
- Feb 3, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Jayna R Jones, MD
- Title
- Medical Doctor
- Phone
- (270) 821-6262
Other NPIs on the same Medicare enrollment 3
Practitioners 1
-
Michael Jones, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100526000074 | KY | Part B Supplier - Clinic/Group Practice | 5193865624 |
Receives reassigned benefits from 4 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sacramento, KY; Madisonville, KY; Owensboro, KY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
760 Main St
Sacramento, KY 42372-9405
Mailing address
230 Madison Square Dr Ste C
Madisonville, KY 42431-2792
Phone (270) 821-6262
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100683450 | Medicaid | KY |
Other names
- BRIDGEWATER MEDICAL CENTER
Other providers in Sacramento, KY
All providers in Sacramento, KY · Rural Health Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.