Organization
JACKSON HOSPITAL & CLINIC, INC.
Active
Other names
Jackson Hospital & Clinic, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA D HAYSLIP (DIVISION DIRECTOR REVENUE CYCLE)
(334) 293-8128
Entity
Organization
Contact information
Practice address
1725 PINE ST, DEPARTMENT OF PHARMACY, MONTGOMERY, AL 36106-1109
(334) 293-8780
(334) 293-8791
Mailing address
1725 PINE ST, MONTGOMERY, AL 36106-1109
(334) 293-8000
(334) 293-8161
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
PA88
AL
333600000X
Pharmacy
140004
AL
333600000X
Pharmacy
2162053
AL
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162053
PK
—
Enumeration date
05/16/2006
Last updated
03/09/2026
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