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JACKSON HOSPITAL AND CLINIC INC. NPI 1578003745


NPI Information

NPI: 1578003745
Provider Name: JACKSON HOSPITAL AND CLINIC INC.

Doing Business As: JACKSON CLINIC CARDIOLOGY SUITE 406

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1758 PARK PL
SUITE 406
MONTGOMERY, AL
ZIP 36106
Phone: (334) 240-2348
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JACKSON HOSPITAL AND CLINIC INC. is a cardiovascular disease internal medicine in Montgomery, AL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. JACKSON HOSPITAL AND CLINIC INC. NPI is 1578003745. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Jackson Clinic Cardiology Suite 406.

The provider's business location address is:

1758 PARK PL
SUITE 406
MONTGOMERY, AL
ZIP 36106-127
Phone: (334) 240-2348
Fax: (334) 240-2349

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 3/7/2017 and was last updated on 3/7/2017.


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
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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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