ST. JOHN NEUMANN'S EXTENDED HOURS CLINIC – Family Medicine Physician, NPI 1003004912

Family Medicine Physician

ST. JOHN NEUMANN'S EXTENDED HOURS CLINIC is a healthcare provider. based in Jackson, Kentucky. specializing in Family Medicine Physician. The organization holds a License No. KY24420 (KY). The NPI Number for ST. JOHN NEUMANN'S EXTENDED HOURS CLINIC is 1003004912

Main info

Organization

Name

ST. JOHN NEUMANN'S EXTENDED HOURS CLINIC

NPI

1003004912

Phone

(606) 666-4011

Address

1389 HIGHWAY 15 NORTH

Authorized Official

MRS. THERESA MERCED OFFICE MANAGER

Enumeration Date

5 October 2007

Last Update Date

5 October 2007

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience50

Completeness75

Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for ST. JOHN NEUMANN'S EXTENDED HOURS CLINIC

N, A Road, Altus, Jackson County, Oklahoma, United States
JACKSON, KY 41339
Phone: (606) 666-4011
Fax: (606) 666-5801
Type: Location
Jackson, Jackson County, Arkansas, 72431, United States
JACKSON, KY 413390606
Phone: (606) 666-4011
Fax: (606) 666-5801
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 41339)

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Reviews

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Frequently asked questions

What identifier follows ST. JOHN NEUMANN'S EXTENDED HOURS CLINIC across health systems?

The NPI 1003004912 uniquely identifies ST. JOHN NEUMANN'S EXTENDED HOURS CLINIC in U.S. healthcare data.

Is ST. JOHN NEUMANN'S EXTENDED HOURS CLINIC currently accepting referrals based on NPI status?

Registry metadata lists ST. JOHN NEUMANN'S EXTENDED HOURS CLINIC as active.

Which specialty label fits ST. JOHN NEUMANN'S EXTENDED HOURS CLINIC?

NPPES ties ST. JOHN NEUMANN'S EXTENDED HOURS CLINIC to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.

Is ST. JOHN NEUMANN'S EXTENDED HOURS CLINIC tied to Jackson, Kentucky?

If you are local to Jackson, Kentucky, ST. JOHN NEUMANN'S EXTENDED HOURS CLINIC may be relevant to your search.

Can I verify credentials using only NPI?

NPI confirms identity in the directory; licensure and board certification require separate checks.