# CITY OF JACKSON HEALTH CARE AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558487397
- **Authorized official:** JENNIFER RYLAND (CEO)
- **Authorized official phone:** (251) 246-9021

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | H1302 | AL | Yes |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 05/22/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4791280S | — | AL |