JACKSON MEDICAL CENTER, LLC (NPI# 1891180089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891180089 |
| Entity Type | Organization |
| Organization Name | JACKSON MEDICAL CENTER, LLC |
| Practice Address |
220 Hospital Dr Jackson AL 36545-2459 |
| Mailing Address |
Po Box 250 Grove Hill AL 36451-0250 |
| Practice Telephone | 2512461154 |
| Practice Fax Number | 2512461108 |
| Mailing Telephone | 2512461154 |
| Mailing Fax Number | 2512461108 |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |
| Authorized Official Name | AMY GIBSON (CEO) |
| Authorized Official Telephone | 2512461154 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952427874 | Jackson Medical Center, LLC | General Acute Care Hospital | 220 Hospital Dr, Jackson, AL 36545-2459 | 2007-03-22 |
| 1558487397 | Jackson Medical Center, LLC | Medicare Defined Swing Bed Unit | 220 Hospital Dr, Jackson, AL 36545-2459 | 2007-03-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JACKSON MEDICAL CENTER, LLC | 220 Hospital Dr, Jackson, AL 36545-2459 |
| Street Address |
220 HOSPITAL DR |
| City | JACKSON |
| State | AL |
| Zip Code | 36545-2459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598770943 | Gilliard Health Services | General Acute Care Hospital | 220 Hospital Dr, Jackson, AL 36545-2459 | 2006-07-31 |
| 1265802235 | Jackson Medical Center LLC | Clinic/Center | 220 Hospital Dr, Jackson, AL 36545-2459 | 2015-10-02 |
| 1164837563 | Rene Bontrager | Nurse Practitioner | 220 Hospital Dr, Jackson, AL 36545-2459 | 2014-06-24 |
| 1013320167 | Carla Ann Baxley | Nurse Practitioner | 220 Hospital Dr, Jackson, AL 36545-2459 | 2014-06-06 |
| 1033540232 | Aikam Health | Clinic/Center | 220 Hospital Dr, Jackson, AL 36545-2459 | 2013-12-12 |
| 1053638528 | Monroeville Radiation Oncology | Specialist | 220 Hospital Dr, Jackson, AL 36545-2459 | 2010-04-23 |
| 1841453354 | Pulmonary Associates of Mobile, PC | Internal Medicine | 220 Hospital Dr, Jackson, AL 36545-2459 | 2008-07-03 |
| 1790954733 | Gilliard Health Services | Home Health | 220 Hospital Dr, Jackson, AL 36545-2459 | 2008-02-25 |
| 1043430226 | Jackson Medical Center, L.L.C. | General Acute Care Hospital | 220 Hospital Dr, Jackson, AL 36545-2459 | 2007-04-27 |
| 1952427874 | Jackson Medical Center, LLC | General Acute Care Hospital | 220 Hospital Dr, Jackson, AL 36545-2459 | 2007-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487720355 | Alabama Orthopaedic Clinic, PC | Orthopaedic Surgery | 220 Hospital Ave, Jackson, AL 36545 | 2006-11-24 |
| 1871094300 | Kristin Ford Anderson | Physical Therapist | 1711 College Ave, Jackson, AL 36545 | 2018-02-21 |
| 1447567250 | Jamal Randall | Physical Therapist | 1711 College Avenue, Jackson, AL 36545-0037 | 2010-09-01 |
| 1538186846 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4206 N College Ave, Jackson, AL 36545-2019 | 2006-07-16 |
| 1902987399 | Wal-mart Stores East, Lp | Technician/Technologist | 4206 N College Ave, Jackson, AL 36545-2019 | 2006-10-18 |
| 1285671792 | Aseracare Hospice - Jackson, LLC | Hospice Care, Community Based | 4115 N College Ave, Jackson, AL 36545-2022 | 2006-06-01 |
| 1396353363 | Health Now Jackson, LLC | Durable Medical Equipment & Medical Supplies | 3802 N College Ave Ste 107, Jackson, AL 36545-2046 | 2020-07-16 |
| 1245342070 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 215 Walker Springs Rd, Jackson, AL 36545-2136 | 2006-08-31 |
| 1851917504 | Medevac Alabama Inc | Ambulance | 3738 N College Ave, Jackson, AL 36545-2225 | 2020-06-18 |
| 1497739007 | Brian Keith Graham | Chiropractor | 1120 College Ave, Jackson, AL 36545-2405 | 2005-12-06 |
| Find all providers in zip 36545 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1912518978 | Jackson Hospital Corporation | Clinic/Center | 424 Jett Dr, Jackson, KY 41339-9621 | 2020-08-13 |
| 1366808404 | Ghs Jmc Clinics LLC | Clinic/Center | 227 Hospital Dr, Jackson, AL 36545-2423 | 2016-01-05 |
| 1265802235 | Jackson Medical Center LLC | Clinic/Center | 220 Hospital Dr, Jackson, AL 36545-2459 | 2015-10-02 |
| 1992827927 | Kentucky River Physician Corporation | Clinic/Center | 424 Jett Dr, Jackson, KY 41339-9621 | 2007-04-03 |
| 1487717039 | Sioux Valley Regional Health Services | Clinic/Center | 1430 North Hwy, Jackson, MN 56143-1093 | 2006-12-18 |
| 1083638357 | Sanford Health Network | Clinic/Center | 1430 North Hwy, Jackson, MN 56143-1093 | 2006-07-27 |
| 1417972290 | Jackson Madison County General Hospital | Clinic/Center | 655 Lexington Ave, Jackson, TN 38301-5075 | 2006-07-13 |
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|---|---|---|---|---|
| 1982205753 | Pickens County Primary Care PC | Clinic/Center | 99 Commerce Avenue, Carrollton, AL 35447 | 2020-11-06 |
| 1952952541 | Pediatric Associates of Alexander City PC | Clinic/Center | 21 Coosa County Road 50, Kellyton, AL 35089-1900 | 2019-09-25 |
| 1205309044 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 184 William E Hill Drive Ste C, Carrollton, AL 35447 | 2019-01-04 |
| 1487123915 | Physicians Care of Camden LLC | Clinic/Center | 24b Camden Byp, Camden, AL 36726-1770 | 2018-11-14 |
| 1336634666 | Central Pediatrics of Somerville LLC | Clinic/Center | 3609 Highway 67 S, Somerville, AL 35670 | 2018-06-28 |
| 1578060349 | Ivy Creek of Elmore, LLC | Clinic/Center | 4412 Hogan Rd, Deatsville, AL 36022-3400 | 2018-04-09 |
| 1568915106 | Physicians Care of Grove Hill LLC | Clinic/Center | 127 Clark St Ste C&d, Grove Hill, AL 36451-3050 | 2016-08-01 |
| 1205294428 | Red Bay Hospital Outpatient Clinics LLC | Clinic/Center | 14490 County Line Road, Suite A, Muscle Shoals, AL 35661 | 2016-02-02 |
| 1972985968 | Athens Limestone Pediatric Center LLC | Clinic/Center | 101 Fitness Way Ste 2100, Athens, AL 35611-2494 | 2015-06-25 |
| 1396125258 | D W Mcmillan Memorial Hospital | Clinic/Center | 1674 Cleveland Ave, Castleberry, AL 36432 | 2015-06-05 |
| Find all providers with the same taxonomy | ||||
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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.