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JACKSON MADISON COUNTY GENERAL HOSPITAL NPI 1417972290


NPI Information

NPI: 1417972290
Provider Name: JACKSON MADISON COUNTY GENERAL HOSPITAL

Doing Business As: EAST JACKSON FAMILY MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
655 LEXINGTON AVE
JACKSON, TN
ZIP 38301
Phone: (731) 425-7900
Get Directions

JACKSON MADISON COUNTY GENERAL HOSPITAL is a family medicine in Jackson, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JACKSON MADISON COUNTY GENERAL HOSPITAL NPI is 1417972290. The provider is registered as an organization entity type.
The provider Is Doing Business As East Jackson Family Medical Center.

The provider's business location address is:

655 LEXINGTON AVE
JACKSON, TN
ZIP 38301-075
Phone: (731) 425-7900
Fax: (731) 425-7910

The provider's authorized official is Jama M Phillips .
The authorized official title is Director Physician Billing and has the following contact phone number (731) 512-1510.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 12/4/2009.


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
1261QR1300XClinic/CenterRural HealthNo
2207QA0000XFamily MedicineAdolescent MedicineNo
3207QA0505XFamily MedicineAdult MedicineNo
4207QG0300XFamily MedicineGeriatric MedicineNo
5207R00000XInternal MedicineNo
6207RA0000XInternal MedicineAdolescent MedicineNo
7207RG0300XInternal MedicineGeriatric MedicineNo
8207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1443918MEDICARE OSCAR/CERTIFICATIONTENNESSEE
23709793MEDICARE PINTENNESSEE

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: 11/14/2023

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