Organization
JACKSON HOSPITAL AND CLINIC INC.
Active
Organization
JACKSON HOSPITAL AND CLINIC INC.
Active
Other names
Jackson Clinic Urology DME
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RITZUS (VICE PRESIDENT PHYSICIAN SERVICES)
(334) 240-2337
Entity
Organization
Contact information
Practice address
1722 PINE ST, SUITE 502, MONTGOMERY, AL 36106-1103
(334) 240-2337
(334) 293-6859
Mailing address
1722 PINE ST, SUITE 502, MONTGOMERY, AL 36106-1103
(334) 240-2337
(334) 293-6859
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/17/2015
Last updated
08/22/2016
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