| Organization Name: | JACKSON MADISON COUNTY REGIONAL HEALTH DEPARTMENT |
| NPI Number: | 1871676593 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TONY R EMISON (DIRECTOR) |
| Mailing Address: | 804 North Parkway Jackson |
| State: | TN US |
| Postal Code: | 383053058 |
| Phone Number: | 7314233020 |
| Fax Number: | 7319278603 |
| NPI Enumeration Date: | 10/24/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | TN015749RE |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |