JACKSON-MADISON COUNTY GENERAL HOSPITAL (NPI# 1194715987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194715987 |
| Entity Type | Organization |
| Organization Name | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
| Other Organization Name | WEST TENNESSEE TRANSITIONAL CARE |
| Practice Address |
670 Skyline Dr Jackson TN 38301-3934 |
| Practice Telephone | 7315416226 |
| Practice Fax Number | 7315414931 |
| Mailing Telephone | 7315416226 |
| Mailing Fax Number | 7315414931 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2009-08-09 |
| Authorized Official Name | MR. BOBBY ARNOLD (PRESIDENT AND CEO) |
| Authorized Official Telephone | 7315415000 |
| Is Organization Subpart | Y |
| Parent Organization Name | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0000000171 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 0445187 | 05 |
| Other Name | Type Code |
|---|---|
| West Tennessee Transitional Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104816966 | Jackson-madison County General Hospital | Hospice Care, Community Based | 1804 Highway 45 Byp, Jackson, TN 38305-4436 | 2005-10-24 |
| 1366432122 | Jackson-madison County General Hospital | Home Infusion | 1061 West Forest Avenue, Jackson, TN 38301-3879 | 2005-10-24 |
| 1164786257 | Jackson-madison County General Hospital | Ambulance | 620 Skyline Dr, Jackson, TN 38301-3923 | 2012-07-03 |
| 1811039704 | Jackson-madison County General Hospital | Pharmacy | 708 W Forest Ave, Jackson, TN 38301-3901 | 2007-02-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JACKSON-MADISON COUNTY GENERAL HOSPITAL | 620 Skyline Dr, Jackson, TN 38301-3901 |
| System for Award Management (SAM) Entities | JACKSON-MADISON COUNTY GENERAL HOSPITAL DISTRICT | 620 Skyline Dr, Jackson, TN 38301-3923 |
| Street Address |
670 SKYLINE DR |
| City | JACKSON |
| State | TN |
| Zip Code | 38301-3934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942694310 | Evan Corwyn East | Physical Therapy Assistant | 670 Skyline Dr, Jackson, TN 38301-3934 | 2015-03-24 |
| 1932461068 | Harmony Anne Moellman Sprinkle | Physical Therapy Assistant | 670 Skyline Dr, Jackson, TN 38301-3934 | 2012-06-14 |
| 1912296328 | Kerra Taylor Herndon | Physical Therapist | 670 Skyline Dr, Jackson, TN 38301-3934 | 2011-04-06 |
| 1649576018 | Sophia L Murphey | Physical Therapy Assistant | 670 Skyline Dr, Jackson, TN 38301-3934 | 2011-02-02 |
| 1255635173 | Rosalind Zubiri | Physical Therapist | 670 Skyline Dr, Jackson, TN 38301-3934 | 2011-01-06 |
| 1477854602 | April Kiwanna Battle | Occupational Therapist | 670 Skyline Dr, Jackson, TN 38301-3934 | 2010-11-04 |
| 1093015604 | Marlen Murillo | Physical Therapist | 670 Skyline Dr, Jackson, TN 38301-3934 | 2010-10-28 |
| 1013217694 | Jamie Marie Borntrager | Physical Therapist | 670 Skyline Dr, Jackson, TN 38301-3934 | 2010-10-28 |
| 1588878839 | Kati Lynn Wilks | Pharmacist | 670 Skyline Dr, Jackson, TN 38301-3934 | 2007-05-09 |
| 1306050653 | Nelda Young Young | Pharmacist | 670 Skyline Dr, Jackson, TN 38301-3934 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
| 1629592522 | Tlc Home Care Services, LLC | In Home Supportive Care | 39 Old Denmark Rd, Jackson, TN 38301 | 2017-08-01 |
| 1841730421 | Southern Hands Quality Care | In Home Supportive Care | 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 | 2017-03-02 |
| 1881044477 | Katie Mcmickin | Counselor | 163 Sunnyside Dr, Jackson, TN 38301 | 2016-06-15 |
| 1164815064 | Hailey Archer | Dietitian, Registered | 720 W. Forest Ave., Jackson, TN 38301 | 2015-03-17 |
| 1740673714 | Regina Tignor | Nurse Practitioner | 1410 Us Highway 70 Byp, Jackson, TN 38301 | 2015-03-13 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1659797702 | Worthy Walker Arrington | Nurse Practitioner | 720 West Forest Avenue, Jackson, TN 38301 | 2014-03-13 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| Find all providers in zip 38301 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326348897 | Laurie L. Mcbride | Skilled Nursing Facility | 180 W University Pkwy Ste H, Jackson, TN 38305-1612 | 2010-10-29 |
| 1407179039 | Caring Hands Community Services Inc | Skilled Nursing Facility | 3318 Longwood Drive, Jackson, MS 39212 | 2010-03-10 |
| 1568791804 | North Street Healthcare LLC | Skilled Nursing Facility | 865 North St, Jackson, MS 39202-3020 | 2009-12-16 |
| 1679712665 | West Tennessee Transitional Care Inc | Skilled Nursing Facility | 597 West Forest Ave, Jackson, TN 38301 | 2009-02-13 |
| 1285802652 | Trilogy Healthcare of Jackson, LLC | Skilled Nursing Facility | 703 Robinson Road, Jackson, MI 49203-2538 | 2008-02-19 |
| 1174732333 | Louisiana War Veterans Home | Skilled Nursing Facility | 4739 Highway 10, Jackson, LA 70748 | 2007-05-22 |
| 1760521256 | Omni Visions, Inc | Skilled Nursing Facility | 50 Directors Row, Jackson, TN 38305 | 2007-02-05 |
| 1326197211 | Cottage Grove Nursing Home, Lp | Skilled Nursing Facility | 1116 Forest Ave, Jackson, MS 39206-3216 | 2007-01-09 |
| 1164597688 | Countryside Care Center, Inc. | Skilled Nursing Facility | 2121 Robinson Rd, Jackson, MI 49203-3658 | 2006-11-21 |
| 1073687083 | Chadwick Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 1900 Chadwick Dr, Jackson, MS 39204-3406 | 2006-11-20 |
| Find all providers in JACKSON | ||||
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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.