HOLZER MEDICAL CENTER JACKSON (NPI# 1669410940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669410940 |
| Entity Type | Organization |
| Organization Name | HOLZER MEDICAL CENTER JACKSON |
| Practice Address |
500 Burlington Rd Jackson OH 45640-9360 |
| Practice Telephone | 7403958500 |
| Practice Fax Number | 7403958502 |
| Mailing Telephone | 7403958500 |
| Mailing Fax Number | 7403958502 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2018-05-09 |
| Authorized Official Name | MICHAEL R CANADY (CEO) |
| Authorized Official Telephone | 7404465051 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
OH | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2224195 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013058882 | Holzer Medical Center Jackson | Clinical Medical Laboratory | 500 Burlington Rd, Jackson, OH 45640-9360 | 2007-02-12 |
| Street Address |
500 BURLINGTON RD |
| City | JACKSON |
| State | OH |
| Zip Code | 45640-9360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780678060 | Keith A Mckinniss | Pharmacist | 500 Burlington Rd, Jackson, OH 45640-9360 | 2005-09-01 |
| 1720618192 | Nicole Maxey | Behavioral Analyst | 500 Burlington Rd, Jackson, OH 45640-9360 | 2020-01-24 |
| 1154968006 | Jordan Jayjohn | Behavioral Analyst | 500 Burlington Rd, Jackson, OH 45640-9360 | 2019-12-10 |
| 1669019501 | Lorie Lynn Siders | Dietitian, Registered | 500 Burlington Rd, Jackson, OH 45640-9360 | 2019-12-10 |
| 1477105674 | Hannah Rose Bachtel | Nurse Practitioner | 500 Burlington Rd, Jackson, OH 45640-9360 | 2019-07-09 |
| 1871062893 | Melissa Davis | Licensed Practical Nurse | 500 Burlington Rd, Jackson, OH 45640-9360 | 2018-11-20 |
| 1972092633 | Jamie Beth Boster | Speech-Language Pathologist | 500 Burlington Rd, Jackson, OH 45640-9360 | 2018-05-08 |
| 1982193066 | Bethany Christine Sayre-penix | Occupational Therapist | 500 Burlington Rd, Jackson, OH 45640-9360 | 2018-05-04 |
| 1821517574 | Krystal Marie Thayer | Physician Assistant | 500 Burlington Rd, Jackson, OH 45640-9360 | 2017-09-13 |
| 1326490087 | Seth Forgey | Nurse Practitioner | 500 Burlington Rd, Jackson, OH 45640-9360 | 2016-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131047 | Karen Angela Hill | Homemaker | 399 Florence Ave., Jackson, OH 45640 | 2020-10-14 |
| 1639609183 | Katherine Elizabeth Kazee | Pharmacist | 530 E Main St., Jackson, OH 45640 | 2017-06-18 |
| 1477080703 | Mary Jane Adams | Registered Nurse | 10 Lady Avenue, Jackson, OH 45640 | 2017-05-17 |
| 1669721833 | David L Weaver | Counselor | 731 E. Main Street, Suite 16, Jackson, OH 45640 | 2012-09-04 |
| 1710297387 | Cheryl Renee Mccarty | Physical Therapy Assistant | 269 E South Street, Jackson, OH 45640 | 2010-10-18 |
| 1619203536 | Connie Rae Klein-ferguson | Registered Nurse | 388 Webb Pierce Road, Jackson, OH 45640 | 2009-10-28 |
| 1114194347 | Community Action Committee of Pike County | Clinic/Center | 14590 St Rt 93, Family Health Center Jackson, Jackson, OH 45640 | 2008-05-16 |
| 1548489149 | Synergy Dialysis Associates, LLC | Clinic/Center | 500 Mccarty Ln, Jackson, OH 45640 | 2007-04-24 |
| 1770629487 | Lance Family Medicine | Family Medicine | 212 Pearl Street Suite E, Jackson, OH 45640 | 2007-01-29 |
| 1023176104 | Amber Nichole Pratt | Speech-Language Pathologist | 822 Sellars Dr, Jackson, OH 45640 | 2006-12-04 |
| Find all providers in zip 45640 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295987303 | Umc Medical Center | General Acute Care Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2008-10-21 |
| 1487858452 | University of Mississippi Medical Center | General Acute Care Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2007-06-13 |
| 1154541415 | University Preventive Medicine | General Acute Care Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2007-04-27 |
| 1811901531 | Sanford Health Network | General Acute Care Hospital | 1430 North Hwy, Jackson, MN 56143-1093 | 2006-07-28 |
| 1326069097 | Sanford Health Network | General Acute Care Hospital | 1430 North Hwy, Jackson, MN 56143-1093 | 2006-07-21 |
| 1386664779 | Wellstar Sylvan Grove Hospital, Inc | General Acute Care Hospital | 1050 Mcdonough Rd, Jackson, GA 30233-1524 | 2006-07-20 |
| 1619997079 | Wellstar Sylvan Grove Hospital, Inc | General Acute Care Hospital | 1050 Mcdonough Rd, Jackson, GA 30233-1524 | 2006-07-20 |
| 1750306437 | Jackson Madison County General Hospital | General Acute Care Hospital | 708 W Forest Ave, Jackson, TN 38301-3901 | 2006-07-13 |
| 1992720676 | Jackson Madison County General Hospital | General Acute Care Hospital | 708 W Forest Ave, Jackson, TN 38301-3901 | 2006-07-13 |
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| 1043431414 | The Ohio State University Medical Center | General Acute Care Hospital | 2234 Sandman Dr, Columbus, OH 43235-7148 | 2007-05-01 |
| 1699896407 | Chiarra Michelle Thompson | General Acute Care Hospital | 3242 Danbury Rd, Fairfield, OH 45014-5305 | 2007-04-02 |
| 1437244886 | Chris Anandajeya | General Acute Care Hospital | 17273 St Rt 104, Chillicothe, OH 45601 | 2006-10-03 |
| 1922079532 | H.b. Magruder Memorial Hospital | General Acute Care Hospital | 615 Fulton St, Port Clinton, OH 43452-2001 | 2006-01-31 |
| 1790775161 | Morrow County Hospital | General Acute Care Hospital | 651 W Marion Rd, Mount Gilead, OH 43338-1027 | 2005-10-26 |
| 1235135450 | Barnesville Hospital Association, Inc. | General Acute Care Hospital | 639 W. Main St., Barnesville, OH 43713-0309 | 2005-06-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.