# JACKSON HOSPITAL & CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jackson Hospital & Clinic, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043262488
- **Authorized official:** ANITA D HAYSLIP (DIVISION DIRECTOR REVENUE CYCLE)
- **Authorized official phone:** (334) 293-8128

## Contact information

- **Practice address:** 1725 PINE ST, DEPARTMENT OF PHARMACY, MONTGOMERY, AL 36106-1109
- **Practice address phone:** (334) 293-8780
- **Practice address fax:** (334) 293-8791
- **Mailing address:** 1725 PINE ST, MONTGOMERY, AL 36106-1109
- **Mailing address phone:** (334) 293-8000
- **Mailing address fax:** (334) 293-8161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | PA88 | AL | Yes |
| 333600000X | Pharmacy | 140004 | AL | — |
| 333600000X | Pharmacy | 2162053 | AL | — |
| 3336I0012X | Institutional Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 03/09/2026