Kentucky River Physician Corporation

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

KENTUCKY RIVER PHYSICIAN CORPORATION

Practice address

424 Jett Dr
Jackson, KY 41339-9621

Phone

(606) 666-6600

Fax

(606) 693-0534

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Debbie Brewer

Title

Director of Provider Enrollment

Phone

(877) 892-9813

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1992827927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-465-7000",
            "fax_number": "615-465-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 JETT DR",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413399621",
            "telephone_number": "606-666-6600",
            "fax_number": "606-693-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY RIVER PHYSICIAN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR OF PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "877-892-9813"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juniper Health Inc
• Kentucky Institute for Eye Health & Surgery
• Kentucky Institute for Eye Health & Surgery
• Kentucky River HBP LLC
• Kentucky River Physician Corporation
• Emily Renee' Land
• Landmark of Breathitt County Rehabilitation and Nursing Center
• Lifetime Potentials, Inc.
• Lincare Inc
• Henry R. Luka, M.A., M.ED., D.MIN.

• Rural Health Clinic/Center in Jackson, KY
• Providers in Jackson, KY by specialty
• Rural Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.