# JACKSON HOSPITAL AND CLINIC INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jackson Clinic Infectious Disease
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376097089
- **Authorized official:** KELIN PENNEY (ADMINISTRATOR)
- **Authorized official phone:** (334) 240-2335

## Contact information

- **Practice address:** 1722 PINE ST STE 801, MONTGOMERY, AL 36106-1108
- **Practice address phone:** (334) 293-6871
- **Practice address fax:** (334) 293-6872
- **Mailing address:** 1722 PINE ST STE 804, MONTGOMERY, AL 36106-1108
- **Mailing address phone:** (334) 293-8736
- **Mailing address fax:** (334) 293-8738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2016
- **Last updated:** 03/09/2026