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GILLIARD HEALTH SERVICES NPI 1598770943


NPI Information

NPI: 1598770943
Provider Name: GILLIARD HEALTH SERVICES

Doing Business As: JACKSON MEDICAL CENTER

Classification: General Acute Care Hospital - 282NR1301X
Entity Type: Organization

Specialization: Rural

CLIA Number: 01D0305356

Address:
220 HOSPITAL DR
JACKSON, AL
ZIP 36545
Phone: (251) 246-9021
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GILLIARD HEALTH SERVICES is a rural general acute care hospital in Jackson, AL. GILLIARD HEALTH SERVICES NPI is 1598770943. The provider is registered as an organization entity type.
The provider Is Doing Business As Jackson Medical Center.

The provider's business location address is:

220 HOSPITAL DR
JACKSON, AL
ZIP 36545-459
Phone: (251) 246-9021
Fax: (251) 246-1122

The provider's authorized official is Jennifer Ryland .
The authorized official title is Assistant Administrator and has the following contact phone number (251) 246-9021.

The CLIA number assigned to this NPI record is 01D0305356 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 8/22/2020.


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
1282NR1301XGeneral Acute Care HospitalRural11779ALABAMAYes

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
101-115OTHERALABAMABCBS
2HOS0128HMEDICAIDALABAMA

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

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.