Organization
JACKSON MADISON COUNTY GENERAL HOSPITAL
Active
Parent organization
JACKSON MADISON COUNTY GENERAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON MADISON COUNTY GENERAL HOSPITAL
Authorized official
BARTLEY TEAGUE (EXECUTIVE DIRECTOR)
(731) 512-1277
Entity
Organization
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 660-8730
Mailing address
257 BANCORP SOUTH PKWY, JACKSON, TN 38305-7582
(731) 660-8730
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3280146
—
TN
Enumeration date
06/08/2006
Last updated
10/30/2025
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