Organization Name: | JACKSON MADISON COUNTY GENERAL HOSPITAL |
NPI Number: | 1205265485 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHERRY K OSBORNE (EXECUTIVE DIRECTOR OF PHARMACY) |
Mailing Address: | 720 W Forest Ave Jackson |
State: | TN US |
Postal Code: | 383013904 |
Phone Number: | 7315411725 |
Fax Number: | 7315411726 |
NPI Enumeration Date: | 11/07/2013 |
NPI Last Update Date: | 05/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 5281 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |