JACKSON SURGERY CENTER, LLC (NPI# 1336375930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336375930 |
| Entity Type | Organization |
| Organization Name | JACKSON SURGERY CENTER, LLC |
| Practice Address |
1725 Park Pl Montgomery AL 36106-1138 |
| Practice Telephone | 3342938484 |
| Practice Fax Number | 3342936880 |
| Mailing Telephone | 3342938484 |
| Mailing Fax Number | 3342936880 |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2016-10-18 |
| Authorized Official Name | JOHN GRAY (ADMINISTRATOR) |
| Authorized Official Telephone | 3342938223 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
PENDING | AL | Ambulatory Health Care Facilities |
| Street Address |
1725 PARK PL |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538455613 | Jackson Hospital and Clinic, Inc. | Surgery | 1725 Park Pl, Suite 300-a, Montgomery, AL 36106-1123 | 2011-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891295275 | Fresenius Vascular Care Montgomery Asc LLC | Clinic/Center | 1501 Forest Ave, Montgomery, AL 36106-1539 | 2018-02-13 |
| 1841655172 | Montgomery Surgery Specialists | Clinic/Center | 470 Taylor Rd, Suite 202, Montgomery, AL 36117-3563 | 2015-12-31 |
| 1417372749 | Plastic Surgery Associates of Montgomery | Clinic/Center | 6727 Taylor Ct, Montgomery, AL 36117-7708 | 2014-02-24 |
| 1780830307 | Midwest Surgical Facility | Clinic/Center | 1851 Douglas Rd, Montgomery, IL 60538-2159 | 2008-08-14 |
| 1053510933 | Montgomery Eye Surgery Center LLC | Clinic/Center | 2752 Zelda Rd, Montgomery, AL 36106-2694 | 2007-07-12 |
| 1376634683 | Montgomery Surgical Center, Ltd | Clinic/Center | 470 Taylor Rd, Suite 100, Montgomery, AL 36117-3563 | 2006-09-28 |
| 1457331274 | Montgomery Eye Surgery Center LLC | Clinic/Center | 2752 Zelda Rd, Montgomery, AL 36106-2694 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487270492 | East Alabama Ambulatory Surgery Center, LLC | Clinic/Center | 900 Camp Road, Auburn, AL 36849-0001 | 2020-06-25 |
| 1962057497 | Clearway Surgery Center of Mobile | Clinic/Center | 855 Downtowner Blvd Ste A, Mobile, AL 36609-5403 | 2019-08-01 |
| 1225698681 | Affinity Gastroenterology Asc LLC | Clinic/Center | 3686 Grandview Pkwy Ste 610, Birmingham, AL 35243-3406 | 2019-06-18 |
| 1669031886 | Surgical Clinic Solutions, LLC | Clinic/Center | 1021 Montgomery Hwy, Vestavia Hills, AL 35216-2805 | 2019-06-11 |
| 1508360181 | Nephrology Vascular Lab of Central Alabama Asc LLC | Clinic/Center | 1280 Columbiana Rd Ste 120, Vestavia Hills, AL 35216-1642 | 2018-03-20 |
| 1699139915 | Cutaneous Oncology & Surgery Center, LLC | Clinic/Center | 1940 Stonegate Dr Ste 140, Vestavia Hls, AL 35242-2541 | 2016-04-12 |
| 1104202613 | Invision Ophthalmology P.C. | Clinic/Center | 1800 Mcfarland Blvd E Ste 337, Tuscaloosa, AL 35404-5882 | 2015-08-06 |
| 1407298920 | Vein & Cosmetic Center of Prattville, LLC | Clinic/Center | 509 Pinnacle Pl, Prattville, AL 36066-6544 | 2013-07-25 |
| 1972805299 | St. Vincent's Outpatient Surgery Services LLC | Clinic/Center | 810 Saint Vincent's Drive, Birmingham, AL 35205-1601 | 2010-11-18 |
| 1730318353 | Gardendale Surgical Associates, LLC | Clinic/Center | 2213 Decatur Highway, Gardendale, AL 35071-2301 | 2009-07-02 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
Please comment or provide details below to improve the information on JACKSON SURGERY CENTER, LLC.
| 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.