Organization
JACKSON-MADISON COUNTY GENERAL HOSPITAL
Active
Parent organization
JACKSON-MADISON COUNTY GENERAL HO
Other names
Medical Center Medical Products Infusion Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON-MADISON COUNTY GENERAL HO
Authorized official
MS. TINA PRESCOTT (PRESIDENT AND CEO)
(731) 541-5000
Entity
Organization
Contact information
Practice address
1061 WEST FOREST AVENUE, JACKSON, TN 38301-3879
(731) 660-6954
(731) 660-3549
Mailing address
1061 WEST FOREST AVENUE, JACKSON, TN 38301-3879
(731) 660-6954
(731) 660-3549
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
0000003211
TN
332B00000X
Durable Medical Equipment & Medical Supplies
419
TN
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
419
TN
332BX2000X
Oxygen Equipment & Supplies (DME)
419
TN
333600000X
Pharmacy
3211
TN
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452390
—
TN
Enumeration date
10/24/2005
Last updated
07/02/2025
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