Provider Demographics
NPI:1144526435
Name:JONES MEDICAL CORP
Entity type:Organization
Organization Name:JONES MEDICAL CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAYNA
Authorized Official - Middle Name:R
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-821-6262
Mailing Address - Street 1:230 MADISON SQUARE DR STE C
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42431-2792
Mailing Address - Country:US
Mailing Address - Phone:270-821-6262
Mailing Address - Fax:270-821-6272
Practice Address - Street 1:760 MAIN ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:KY
Practice Address - Zip Code:42372-9405
Practice Address - Country:US
Practice Address - Phone:270-736-2444
Practice Address - Fax:270-736-2442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-03
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100683450Medicaid