Provider Type Icon

JACKSON HOSPITAL & CLINIC INC. NPI 1720599012


NPI Information

NPI: 1720599012
Provider Name: JACKSON HOSPITAL & CLINIC, INC.

Doing Business As: JACKSON CLINIC OTOLARYNGOLOGY

Classification: Otolaryngology - 207Y00000X
Entity Type: Organization

CLIA Number: 01D0678289

Address:
1111 OLIVE ST
MONTGOMERY, AL
ZIP 36106
Phone: (334) 834-7221
Get Directions

JACKSON HOSPITAL & CLINIC, INC. is an otolaryngology in Montgomery, AL. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. JACKSON HOSPITAL & CLINIC, INC. NPI is 1720599012. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jackson Clinic Otolaryngology.

The provider's business location address is:

1111 OLIVE ST
MONTGOMERY, AL
ZIP 36106-129
Phone: (334) 834-7221
Fax: (334) 241-9848

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 CLIA number assigned to this NPI record is 01D0678289 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2017 and was last updated on 6/16/2018.


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
1207Y00000XOtolaryngologyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.