# JACKSON MADISON COUNTY GENERAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JACKSON MADISON COUNTY GENERAL HOSPITAL
- **Other names:** West Tennessee Rehabilitation Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225029390
- **Legal business name:** JACKSON MADISON COUNTY GENERAL HOSPITAL
- **Authorized official:** MR. JAMES ROSS (INTERIM PRESIDENT AND CEO)
- **Authorized official phone:** (731) 541-5000

## Contact information

- **Practice address:** 620 SKYLINE DRIVE, JACKSON, TN 38301-3901
- **Practice address phone:** (731) 541-6930
- **Practice address fax:** (731) 541-6218
- **Mailing address:** 620 SKYLINE DRIVE, JACKSON, TN 38301-3901
- **Mailing address phone:** (731) 541-6930
- **Mailing address fax:** (731) 541-6218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | 0000000078 | TN | Yes |

## Other

- **Enumeration date:** 10/28/2005
- **Last updated:** 04/29/2016