Organization
JACKSON MADISON COUNTY GENERAL HOSPITAL
Active
Parent organization
JACKSON MADISON COUNTY GENERAL HOSPITAL
Other names
West Tennessee Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON MADISON COUNTY GENERAL HOSPITAL
Authorized official
MR. JAMES ROSS (INTERIM PRESIDENT AND CEO)
(731) 541-5000
Entity
Organization
Contact information
Practice address
620 SKYLINE DRIVE, JACKSON, TN 38301-3901
(731) 541-6930
(731) 541-6218
Mailing address
620 SKYLINE DRIVE, JACKSON, TN 38301-3901
(731) 541-6930
(731) 541-6218
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
0000000078
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044T002
—
TN
Enumeration date
10/28/2005
Last updated
04/29/2016
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