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G. V. SONNY MONTGOMERY VA MEDICAL CENTER NPI 1093170730


NPI Information

NPI: 1093170730
Provider Name: G. V. SONNY MONTGOMERY VA MEDICAL CENTER
Classification: Military Hospital - 2865M2000X
Entity Type: Organization

Specialization: Military General Acute Care Hospital

Address:
1500 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216
Phone: (601) 362-4471
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G. V. SONNY MONTGOMERY VA MEDICAL CENTER is a military general acute care hospital military hospital in Jackson, MS. The provider is a Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in fixed facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A fixed facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as pass-through items. G. V. SONNY MONTGOMERY VA MEDICAL CENTER NPI is 1093170730. The provider is registered as an organization entity type.

The provider's business location address is:

1500 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216-116
Phone: (601) 362-4471
Fax: (601) 368-4089

The provider's authorized official is Andree Burnett .
The authorized official title is Chief Of Primary Care Services and has the following contact phone number (601) 362-4471.

The enumeration date for this NPI number is 12/23/2015 and was last updated on 12/23/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12865M2000XMilitary HospitalMilitary General Acute Care Hospital901359MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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