# CITY OF JACKSON HEALTHCARE AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JACKSON MEDICAL CENTER LLC
- **Other names:** Family Medical of Clinic of Jackson
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366808404
- **Legal business name:** JACKSON MEDICAL CENTER LLC
- **Authorized official:** SUZIE MURPHY (ADMINISTRATOR)
- **Authorized official phone:** (251) 246-4446

## Contact information

- **Practice address:** 227 HOSPITAL DR, JACKSON, AL 36545-2423
- **Practice address phone:** (251) 246-4446
- **Mailing address:** 220 HOSPITAL DR, JACKSON, AL 36545-2459
- **Mailing address phone:** (251) 246-9021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/05/2016
- **Last updated:** 01/23/2025