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Organization
CITY OF JACKSON HEALTH CARE AUTHORITY
Active
Organization
CITY OF JACKSON HEALTH CARE AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RYLAND (CEO)
(251) 246-9021
Entity
Organization
Contact information
Practice address
220 HOSPITAL DR, JACKSON, AL 36545-2459
(251) 246-9021
Mailing address
220 HOSPITAL DR, JACKSON, AL 36545-2459
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
H1302
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4791280S
—
AL
Enumeration date
03/22/2007
Last updated
05/22/2025
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