JACKSON HOSPITAL AND CLINIC, INC. (NPI# 1477029072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477029072 |
| Entity Type | Organization |
| Organization Name | JACKSON HOSPITAL AND CLINIC, INC. |
| Practice Address |
1722 Pine St Ste 603 Montgomery AL 36106-1114 |
| Mailing Address |
1722 Pine St Ste 503 Montgomery AL 36106-1160 |
| Practice Telephone | 3342642422 |
| Practice Fax Number | 3342649294 |
| Mailing Telephone | 3342938736 |
| Mailing Fax Number | 3342938736 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |
| Authorized Official Name | TARA HERRING (REVENUE CYCLE DIRECTOR) |
| Authorized Official Telephone | 3342402337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Jackson OBGYN Dr. Glenn Saucer | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497240998 | Jackson Hospital and Clinic, Inc. | Internal Medicine | 1722 Pine St Ste 801, Montgomery, AL 36106-1108 | 2018-06-27 |
| 1477171072 | Jackson Hospital and Clinic, Inc. | Family Medicine | 204 Medical Center Dr, Prattville, AL 36066-7288 | 2020-07-09 |
| 1730727744 | Jackson Hospital and Clinic, Inc. | Specialist | 1840 E Main St, Prattville, AL 36066-5500 | 2019-12-20 |
| 1952949968 | Jackson Hospital and Clinic, Inc. | Pediatrics | 4154 Carmichael Rd, Montgomery, AL 36106-2866 | 2019-12-20 |
| 1205494416 | Jackson Hospital and Clinic, Inc. | Urology | 1722 Pine St Ste 503, Montgomery, AL 36106-1160 | 2019-06-03 |
| 1992296370 | Jackson Hospital and Clinic, Inc. | Surgery | 1722 Pine St Ste 503, Montgomery, AL 36106-1160 | 2018-05-22 |
| 1306229190 | Jackson Hospital and Clinic, Inc. | Hospitalist | 1725 Pine St, Montgomery, AL 36106-1109 | 2015-06-30 |
| 1720325889 | Jackson Hospital and Clinic, Inc. | Family Medicine | 701 Mcqueen Smith Rd S, Prattville, AL 36066-7503 | 2013-01-09 |
| 1710265905 | Jackson Hospital and Clinic, Inc. | Internal Medicine | 1801 Pine St, Suite 203, Montgomery, AL 36106-0165 | 2011-07-22 |
| 1760770754 | Jackson Hospital and Clinic, Inc. | Urology | 1722 Pine St, Suite 502, Montgomery, AL 36106-1103 | 2011-07-12 |
| Street Address |
1722 PINE ST STE 603 |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-1114 |
| 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 | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598973612 | Valerie Amber Waddell | Obstetrics & Gynecology | 470 Taylor Rd, Suite 300, Montgomery, AL 36117-3563 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851799597 | Baptist Medical Center South Ob/gyn Group | Obstetrics & Gynecology | 29 L V Stabler Dr Ste 4, Greenville, AL 36037-3850 | 2014-12-11 |
| 1548535834 | Hh Health Systems-morgan Inc. | Obstetrics & Gynecology | 1874 Beltine Road Sw, Suite 310, Decatur, AL 35601-5514 | 2012-03-20 |
| 1285894618 | Steven B Snyder | Obstetrics & Gynecology | 1120 Jackson Highway, Suite 104, Sheffield, AL 35660 | 2008-06-10 |
| 1215005434 | Robert C. Brown, M.d. P.C. | Obstetrics & Gynecology | 7540 Cipriano Ct Ste C, Fairhope, AL 36532-3029 | 2006-12-04 |
| 1386683902 | Melvin Delaine Thornbury Jr. | Obstetrics & Gynecology | 431 N Carlisle St, Suite 220, Albertville, AL 35950-1733 | 2006-06-06 |
| 1154703726 | Gulf Health Hospitals, Inc | Obstetrics & Gynecology | 2002 Medical Center Dr, Bay Minette, AL 36507-4163 | 2015-06-19 |
| 1790052090 | Grace Ob/gyn LLC | Obstetrics & Gynecology | 188 Hospital Dr, Suite 303, Fairhope, AL 36532-2043 | 2011-11-30 |
| 1740567486 | Melvin D Thornbury Jr Md PC | Obstetrics & Gynecology | 2525 Us Highway 431, Suite 220, Boaz, AL 35957-5934 | 2011-11-09 |
| 1639455280 | Summers W. Taylor, IIi, Md, PC | Obstetrics & Gynecology | 2505 Us Highway 431, Women's Center, Suite A, Boaz, AL 35957-5908 | 2011-10-27 |
| 1861792913 | Kathryn Petro Mckinney | Obstetrics & Gynecology | 3686 Grandview Pkwy Ste 300, Birmingham, AL 35243-3404 | 2010-10-22 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
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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.