Organization Name: | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
NPI Number: | 1104816966 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES ROSS (INTERIM PRESIDENT AND CEO) |
Mailing Address: | 1804 Highway 45 Byp Jackson |
State: | TN US |
Postal Code: | 383054436 |
Phone Number: | 7316644220 |
Fax Number: | 7316644231 |
NPI Enumeration Date: | 10/24/2005 |
NPI Last Update Date: | 04/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 0000000335 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |