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JACKSON HOSPITAL AND CLINIC INC. NPI 1720223027


NPI Information

NPI: 1720223027
Provider Name: JACKSON HOSPITAL AND CLINIC, INC.

Doing Business As: ROBERT B. HARRIS, M.D.

Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 01D0906044

Address:
1801 PINE ST
SUITE 202
MONTGOMERY, AL
ZIP 36106
Phone: (334) 265-9888
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JACKSON HOSPITAL AND CLINIC, INC. is a surgery in Montgomery, AL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. JACKSON HOSPITAL AND CLINIC, INC. NPI is 1720223027. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Robert B. Harris, M.d..

The provider's business location address is:

1801 PINE ST
SUITE 202
MONTGOMERY, AL
ZIP 36106-165
Phone: (334) 265-9888

The provider's authorized official is Edward Scholl .
The authorized official title is Chief Financial Officer and has the following contact phone number (334) 293-8000.

The CLIA number assigned to this NPI record is 01D0906044 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2008 and was last updated on 12/16/2008.


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
1208600000XSurgeryMD.19179ALABAMAYes

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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