Organization
GILLIARD HEALTH SERVICES
Active
Other names
JACKSON MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RYLAND (ASSISTANT ADMINISTRATOR)
(251) 246-9021
Entity
Organization
Contact information
Practice address
220 HOSPITAL DR, JACKSON, AL 36545-2459
(251) 246-9021
(251) 246-1122
Mailing address
220 HOSPITAL DR, JACKSON, AL 36545-2459
(251) 246-9021
(251) 246-1122
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
11779
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-115
BCBS
AL
05
—
HOS0128H
—
AL
Enumeration date
07/31/2006
Last updated
08/22/2020
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