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JACKSON HOSPITAL AND CLINIC INC. NPI 1477029072


NPI Information

NPI: 1477029072
Provider Name: JACKSON HOSPITAL AND CLINIC, INC.
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Organization

Specialization: Obstetrics

Address:
1722 PINE ST STE 603
MONTGOMERY, AL
ZIP 36106
Phone: (334) 264-2422
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JACKSON HOSPITAL AND CLINIC, INC. is an obstetrics obstetrics gynecology in Montgomery, AL. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee JACKSON HOSPITAL AND CLINIC, INC. NPI is 1477029072. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1722 PINE ST STE 603
MONTGOMERY, AL
ZIP 36106-114
Phone: (334) 264-2422
Fax: (334) 264-9294

The provider's authorized official is Tara Herring .
The authorized official title is Revenue Cycle Director and has the following contact phone number (334) 240-2337.

The enumeration date for this NPI number is 10/22/2018 and was last updated on 10/22/2018.


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
1207VX0000XObstetrics & GynecologyObstetricsYes

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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