JACKSON COUNTY MEDICAL CENTER LLC (NPI# 1043497555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043497555 |
| Entity Type | Organization |
| Organization Name | JACKSON COUNTY MEDICAL CENTER LLC |
| Practice Address |
603 S Murray St Gainesboro TN 38562-9376 |
| Mailing Address |
100 Old Jefferson Street Po Box 427 Celina TN 38551 |
| Practice Telephone | 9312685262 |
| Mailing Telephone | 9312433581 |
| Mailing Fax Number | 9312435291 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-09-26 |
| Authorized Official Name | MRS. TRICIA L STRONG (CFO) |
| Authorized Official Telephone | 9312433581 |
| Is Organization Subpart | Y |
| Parent Organization Name | RESTORATION HEALTHCARE OF CELINA LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 15 | TN | Other Service Providers |
| Street Address |
603 S MURRAY ST |
| City | GAINESBORO |
| State | TN |
| Zip Code | 38562-9376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669023768 | Grandkin Caregivers LLC | In Home Supportive Care | 107 East Gore Avenue, Gainesboro, TN 38562 | 2019-09-20 |
| 1861704587 | Gainesboro Ultimate Med Service Corporation | Clinic/Center | 179 Buck Branch Ln, Gainesboro, TN 38562 | 2010-07-10 |
| 1548582125 | Thomas J Mabry & Associates | Assisted Living Facility | 100 Jettie Mabry Lane, Gainesboro, TN 38562 | 2010-02-23 |
| 1114040292 | Thomas J Mabry & Assoc Inc | Skilled Nursing Facility | 1340 N Grundy Quarles Hwy, Gainesboro, TN 38562 | 2007-04-06 |
| 1861403933 | Gainesboro Rx Corp | Pharmacy | 100 Hull Avenue, Gainesboro, TN 38562 | 2006-08-11 |
| 1194748566 | Anderson & Haile Drug Store | Durable Medical Equipment & Medical Supplies | 101 West Gore Ave, Gainesboro, TN 38562 | 2006-07-25 |
| 1861496341 | Jackson County Court House Executive | Ambulance | 316 N. Murray Street, Gainesboro, TN 38562 | 2005-06-13 |
| 1699172312 | Teneal Faye Jenkins | Pharmacist | 101 West Gore Ave, Gainesboro, TN 38562-0065 | 2014-11-24 |
| 1336312735 | Elijah M Dudney | General Practice | 2546 Freestate Road, Gainesboro, TN 38562-0126 | 2008-04-07 |
| 1235418690 | Alexa Allison Miller | Dentist | 103 East Gore Ave, Gainesboro, TN 38562-0595 | 2011-08-16 |
| Find all providers in zip 38562 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811300791 | Solutions of Savannah | Legal Medicine | 85 Harrison St, Savannah, TN 38372-2280 | 2014-06-09 |
| 1215167580 | Plastic and Reconstructive Surgery PC | Legal Medicine | 1303 Sunset Dr Ste 5, Johnson City, TN 37604-7905 | 2009-07-21 |
| 1750524138 | Michael H. Meadors | Legal Medicine | 2011 Church St Ste 601, Nashville, TN 37203-2070 | 2009-04-14 |
| 1992940761 | Pediatric Consultants of Lenoir City | Legal Medicine | 303 Medical Park Drive, Lenoir City, TN 37772-6473 | 2008-12-09 |
| 1801046479 | Joseph L. Bowers, Md PC | Legal Medicine | 8489 E Brainerd Rd, Chattanooga, TN 37421-4361 | 2008-09-19 |
| 1265695076 | East West Family Care, PC | Legal Medicine | 1001 Capital Funds Court, Nashville, TN 37217-3937 | 2008-07-02 |
| 1407065709 | Lee Grimm, Md PC | Legal Medicine | 3101 Browns Mill Rd Pmb 386, Suite 6, Johnson City, TN 37604-4100 | 2007-05-22 |
| 1174668230 | Roy P Johnson | Legal Medicine | 936 Murfreesboro Rd, Lebanon, TN 37090-5350 | 2007-02-20 |
| 1336236322 | Robert E Finelli | Legal Medicine | 110 Perimeter Park Rd Ste C, Knoxville, TN 37922-2200 | 2006-10-09 |
| 1083711535 | Jaime Montoya Chavez | Legal Medicine | Box 291, Brownsville, TN 38012 | 2006-09-19 |
| Find all providers with the same taxonomy | ||||
| City | GAINESBORO |
| Zip Code | 38562 |
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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.