JACKSON MEDICAL CENTER, LLC (NPI# 1952427874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952427874 |
| Entity Type | Organization |
| Organization Name | JACKSON MEDICAL CENTER, LLC |
| Practice Address |
220 Hospital Dr Jackson AL 36545-2459 |
| Practice Telephone | 2517549300 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-02-26 |
| Authorized Official Name | JENNIFER RYLAND (ASSISTANT ADMINISTRATOR) |
| Authorized Official Telephone | 2517549300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
H1302 | AL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | HOS0128H | 05 | |
| AL | BLUE CROSS | 010115 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891180089 | Jackson Medical Center, LLC | Clinic/Center | 220 Hospital Dr, Jackson, AL 36545-2459 | 2015-04-03 |
| 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 |
| 1891180089 | Jackson Medical Center, LLC | Clinic/Center | 220 Hospital Dr, Jackson, AL 36545-2459 | 2015-04-03 |
| 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 |
| 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 | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598770943 | Gilliard Health Services | General Acute Care Hospital | 220 Hospital Dr, Jackson, AL 36545-2459 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992812382 | Professional Resources Management, Inc. | General Acute Care Hospital | 102 Conecuh Ave W, Union Springs, AL 36089-1303 | 2006-08-23 |
| 1588779920 | Greene County Hospital & Nursing Home | General Acute Care Hospital | 509 Wilson Ave, Eutaw, AL 35462 | 2006-08-19 |
| 1255376828 | The Bibb County Healthcare Authority | General Acute Care Hospital | 208 Pierson Ave, Centreville, AL 35042-2918 | 2006-06-18 |
| 1417306663 | Cullman Regional Medical Center | General Acute Care Hospital | 1912 Al Highway 157, Cullman, AL 35058-0609 | 2016-06-08 |
| 1033579024 | St. Vincent's East Family Practice | General Acute Care Hospital | 2152 Old Springville Rd, Center Point, AL 35215-4005 | 2016-03-03 |
| 1255776639 | D. W. Mcmillan Memorial Hospital | General Acute Care Hospital | 1301 Belleville Ave, Brewton, AL 36426-1306 | 2013-04-30 |
| 1922442755 | Mohamad Moustapha El Khatib | General Acute Care Hospital | 101 Fitness Way, Suite 2100, Athens, AL 35611-2480 | 2013-04-23 |
| 1770814626 | Troy Hospital Health Care Authority | General Acute Care Hospital | 1330 Highway 231 S, Troy, AL 36081-3058 | 2010-01-15 |
| 1841453644 | Citizens Baptist Medical Center | General Acute Care Hospital | 604 Stone Ave, Talladega, AL 35160-2217 | 2008-07-02 |
| 1083885313 | Grove Hill Memorial Hospital Emer Room | General Acute Care Hospital | 295 S Jackson St, Grove Hill, AL 36451-3231 | 2008-03-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JACKSON MEDICAL 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.