# JACKSON HOSPITAL AND CLINIC, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jackson Vascular Surgery Troy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801561618
- **Authorized official:** KELIN PENNEY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (334) 240-2335

## Contact information

- **Practice address:** 1340 HIGHWAY 231 S STE 2, TROY, AL 36081-3012
- **Practice address phone:** (334) 293-8922
- **Practice address fax:** (334) 293-6820
- **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 |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/13/2021
- **Last updated:** 03/09/2026