JACKSON MADISON COUNTY GENERAL HOSPITAL NPI 1669400131

NPI Information

NPI: 1669400131
Provider Name: JACKSON MADISON COUNTY GENERAL HOSPITAL
Classification: Radiology - 2085B0100X
Entity Type: Organization

Specialization: Body Imaging

Address:
708 W FOREST AVE
JACKSON, TN
ZIP 38301
Phone: (731) 425-6149
Get Directions

JACKSON MADISON COUNTY GENERAL HOSPITAL is a body imaging radiology in Jackson, TN. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. JACKSON MADISON COUNTY GENERAL HOSPITAL NPI is 1669400131. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

708 W FOREST AVE
JACKSON, TN
ZIP 38301-901
Phone: (731) 425-6149
Fax: (731) 660-8739

The provider's authorized official is Jama M Phillips .
The authorized official title is Director Of Physician Billing and has the following contact phone number (731) 660-8737.

The enumeration date for this NPI number is 6/30/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2085B0100X	Radiology	Body Imaging	Yes
2	2085N0700X	Radiology	Neuroradiology	X
3	2085N0904X	Radiology	Nuclear Radiology	X
4	2085P0229X	Radiology	Pediatric Radiology	X
5	2085R0001X	Radiology	Radiation Oncology	X
6	2085R0202X	Radiology	Diagnostic Radiology	X
7	2085R0204X	Radiology	Vascular & Interventional Radiology	X
8	2085U0001X	Radiology	Diagnostic Ultrasound	X

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3273711	MEDICAID	TENNESSEE

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

NPI Synchronization or Removal

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