Organization
JACKSON HOSPITAL & CLINIC, INC.
Active
Parent organization
JACKSON HOSPITAL & CLINIC, INC.
Other names
Jackson Hospital - Geriatric Psych Unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON HOSPITAL & CLINIC, INC.
Authorized official
MR. JOE RILEY (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(334) 293-8809
Entity
Organization
Contact information
Practice address
1725 PINE ST, MONTGOMERY, AL 36106-1109
(334) 293-8000
(334) 293-8972
Mailing address
1725 PINE ST, MONTGOMERY, AL 36106-1109
(334) 293-8000
(334) 293-8972
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HOS0024H
—
AL
Enumeration date
08/01/2014
Last updated
08/04/2014
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