# JACKSON COUNTY MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RESTORATION HEALTHCARE OF CELINA LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043497555
- **Legal business name:** RESTORATION HEALTHCARE OF CELINA LLC
- **Authorized official:** MRS. TRICIA L STRONG (CFO)
- **Authorized official phone:** (931) 243-3581

## Contact information

- **Practice address:** 603 S MURRAY ST, GAINESBORO, TN 38562-9376
- **Practice address phone:** (931) 268-5262
- **Mailing address:** 100 OLD JEFFERSON STREET, PO BOX 427, CELINA, TN 38551
- **Mailing address phone:** (931) 243-3581
- **Mailing address fax:** (931) 243-5291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | 15 | TN | Yes |

## Other

- **Enumeration date:** 01/28/2008
- **Last updated:** 09/26/2008