JACKSON MADISON COUNTY GENERAL HOSPITAL (NPI# 1912931189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912931189 |
| Entity Type | Organization |
| Organization Name | JACKSON MADISON COUNTY GENERAL HOSPITAL |
| Other Organization Name | BRADFORD FAMILY MEDICAL CENTER |
| Practice Address |
216 E Main St Bradford TN 38316-8651 |
| Mailing Address |
1804 Highway 45 Byp Suite 604 Jackson TN 38305-4436 |
| Practice Telephone | 7317422241 |
| Practice Fax Number | 7317423935 |
| Mailing Telephone | 7316608759 |
| Mailing Fax Number | 7316608739 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-05-16 |
| Authorized Official Name | JAMA M PHILLIPS (DIRECTOR PHYSICIAN BILLING) |
| Authorized Official Telephone | 7315121510 |
| Is Organization Subpart | Y |
| Parent Organization Name | JACKSON MADISON COUNTY GENERAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bradford Family Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003831785 | Jackson Madison County General Hospital | Advanced Practice Midwife | 779 W Forest Ave, Jackson, TN 38301-3943 | 2006-07-13 |
| 1396770442 | Jackson Madison County General Hospital | Advanced Practice Midwife | 110 E Forest Ave, Jackson, TN 38301-4124 | 2006-07-11 |
| 1225029390 | Jackson Madison County General Hospital | Rehabilitation Unit | 620 Skyline Drive, Jackson, TN 38301-3901 | 2005-10-28 |
| 1205265485 | Jackson Madison County General Hospital | Durable Medical Equipment & Medical Supplies | 720 W Forest Ave, Jackson, TN 38301-3904 | 2013-11-07 |
| 1255547980 | Jackson Madison County General Hospital | Internal Medicine | 708 W Forest Ave, Jackson, TN 38301-3901 | 2007-05-16 |
| 1609082338 | Jackson Madison County General Hospital | Internal Medicine | 708 W Forest Ave, Jackson, TN 38301-3901 | 2007-05-16 |
| 1073683884 | Jackson Madison County General Hospital | Pharmacy | 655 Lexington Ave, Jackson, TN 38301-5075 | 2006-11-09 |
| 1437174216 | Jackson Madison County General Hospital | Pathology | 708 W Forest Ave, Jackson, TN 38301-3901 | 2006-07-13 |
| 1750306437 | Jackson Madison County General Hospital | General Acute Care Hospital | 708 W Forest Ave, Jackson, TN 38301-3901 | 2006-07-13 |
| 1184649865 | Jackson Madison County General Hospital | Rehabilitation Unit | 708 W Forest Ave, Jackson, TN 38301-3901 | 2006-07-13 |
| Street Address |
216 E MAIN ST |
| City | BRADFORD |
| State | TN |
| Zip Code | 38316-8651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770793275 | Gibson County Office On Aging | Supports Brokerage | 168 Emain St, Bradford, TN 38316 | 2007-05-23 |
| 1366073041 | Courtney White Roberson | Nurse Practitioner | 148 Wildcat Ln, Bradford, TN 38316-7618 | 2020-01-30 |
| 1497052104 | West Tennessee Medical Group, Inc. | Clinic/Center | 163 E Main St, Bradford, TN 38316-8650 | 2011-02-15 |
| 1093208126 | Felecia Mann | Speech-Language Pathologist | 106 W Front St, Bradford, TN 38316-8802 | 2018-06-13 |
| 1356781447 | Bradford Special School District | Local Education Agency (LEA) | 106 W Front St, Bradford, TN 38316-8802 | 2013-07-03 |
| 1962672303 | Jodie Elizabeth Scott | Speech-Language Pathologist | 136 Highway 45 S, Bradford, TN 38316-9601 | 2008-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557232 | Allison Keller | Pharmacist | 50 Foster Brook Bvld, Bradford, PA 16701 | 2020-10-30 |
| 1962009233 | Lisa Holsinger-taylor | Private Vehicle | 5623 Buckneck Rd, Bradford, OH 45308-9427 | 2020-10-08 |
| 1669092565 | Carla Sofia Vaughan | Social Worker | 234 Ferry Rd, Bradford, MA 01835-8018 | 2020-04-21 |
| 1912531898 | Karen Ann Windle | Nurse Practitioner | 41 Dalton Ave, Bradford, MA 01835-7854 | 2020-02-28 |
| 1376175166 | Kathleen M Croll | Nurse Practitioner | 15 Poor Farm Rd, Bradford, NH 03221-6724 | 2020-02-10 |
| 1366073041 | Courtney White Roberson | Nurse Practitioner | 148 Wildcat Ln, Bradford, TN 38316-7618 | 2020-01-30 |
| 1508497728 | Little Rivers Health Care, Inc. | Social Worker | 143 Fairground Rd, Bradford, VT 05033-9040 | 2020-01-27 |
| 1528698651 | Cynthia Dolores Mawhinney | In Home Supportive Care | 1278 Main Rd, Bradford, ME 04410-3023 | 2020-01-16 |
| 1962049379 | Jennie Hubbard | Licensed Practical Nurse | 574 N Pleasant St Unit 2, Bradford, VT 05033-8713 | 2019-12-04 |
| 1669017109 | Angela Beth Kiklowicz | Massage Therapist | 3590 W Lake Rd, Bradford, NY 14815-9658 | 2019-11-07 |
| Find all providers in BRADFORD | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134604622 | Little Rivers Health Care, Inc. | Family Medicine | 36 Oxbow Dr, Bradford, VT 05033-9037 | 2018-10-01 |
| 1649353731 | Jessie Reynolds | Family Medicine | 437 South Main Street, Bradford, VT 05033 | 2006-10-23 |
| 1629012968 | Singh & Nadella | Family Medicine | 6 N Center St, Bradford, PA 16701-1903 | 2006-06-16 |
| 1245272525 | Bradford Family Medicine, Inc. | Family Medicine | 14 N 3rd St, Bradford, PA 16701-3335 | 2006-06-12 |
| 1366494536 | Venkateswara Rao Nadella | Family Medicine | 6 North Center Street, Bradford, PA 16701 | 2006-05-16 |
| 1669454591 | Frank A Oberti IIi | Family Medicine | 143 S Main St, Bradford, MA 01835-7438 | 2005-11-16 |
| 1679579536 | Glen C. Knowles | Family Medicine | 203 West Main Street, Bradford, AR 72020 | 2005-06-24 |
| 1922459361 | Nerissa Baptiste | Family Medicine | 116 Interstate Pkwy Ste 41, Bradford, PA 16701 | 2016-06-27 |
| 1730593377 | Banafsheh Lotfi Moghaddas | Family Medicine | 24 W Washington St, Bradford, PA 16701-1280 | 2014-06-11 |
| 1073956850 | Olean General Hospital | Family Medicine | 116 Interstate Pkwy, Suite 42, Bradford, PA 16701-1036 | 2013-04-11 |
| Find all providers in BRADFORD | ||||
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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.