Jenkins Family Clinic, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JENKINS FAMILY CLINIC, LLC

Practice address

853 Lakeside Drive
Jenkins, KY 41537-0853

Phone

(606) 832-0023

Fax

(606) 832-0054

NPI assigned

Sep 18, 2012

Last updated

Sep 18, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Heath S. Cook, D.O.

Title

Owner

Phone

(606) 832-0023

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Tax ID family

Jenkins Family Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jenkins Family Clinic, LLC

  • Rural Health Clinic/Center
  • Jenkins, KY
  • NPI 1649126749
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16152/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Heath S. Cook, D.O.

  • Family Medicine Physician
  • Jenkins, KY
  • NPI 1144403288
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1730439647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 LAKESIDE DRIVE",
            "city": "JENKINS",
            "state": "KY",
            "postal_code": "415370853",
            "telephone_number": "606-832-0023",
            "fax_number": "606-832-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 LAKESIDE DRIVE",
            "city": "JENKINS",
            "state": "KY",
            "postal_code": "415370853",
            "telephone_number": "606-832-0023",
            "fax_number": "606-832-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENKINS FAMILY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "HEATH",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-832-0023",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graham Apothecary, Inc (Boggs Pharmacy)
• Jay Timothy Graham
• James Eric Hicks, PHARMD
• McKenzie Grace Holbrook
• Jenkins Family Clinic, LLC
• Jenkins Healthcare Company (Jenkins Community Hospital)
• Jenkins Healthcare Company Bda Jenkins Community Hospital
• Jenkins Healthcare Company Inc
• Jenkins Healthcare Company Inc (Jenkins Community Hospital)
• Jenkins Healthcare Company Inc. Dba Jenkins Community Hospital

• Family Medicine Physician in Jenkins, KY
• Providers in Jenkins, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.