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St. John Neumann'S Extended Hours Clinic

Family Medicine Physician in Jackson, KY · enumerated 2007 · authorized official Theresa Merced, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003004912

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Registry record

Entity type Organization (Type 2)
Legal business name St. John Neumann'S Extended Hours Clinic
Practice address 1389 Highway 15 North, Jackson, KY, 41339
Fax (606) 666-5801
Enumeration date Oct 5, 2007
Last updated in NPPES Oct 5, 2007

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License KY24420 (KY) Primary

Authorized official

Name Theresa Merced
Title Office Manager

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for St. John Neumann'S Extended Hours Clinic?
The NPI for St. John Neumann'S Extended Hours Clinic is 1003004912, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for St. John Neumann'S Extended Hours Clinic?
NPPES lists Theresa Merced (Office Manager) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-05.