Organization
JACKSON HOSPITAL & CLINIC, INC.
Active
Parent organization
JACKSON HOSPITAL & CLINIC, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON HOSPITAL & CLINIC, INC.
Authorized official
MELODY COWDREY (DIRECTOR-REVENUE CYCLE INTEGRATIION)
(334) 293-8147
Entity
Organization
Contact information
Practice address
1725 PINE ST, MONTGOMERY, AL 36106-1109
(334) 293-8000
Mailing address
1725 PINE STREET, ATTN: BUSINESS OFFICE, MONTGOMERY, AL 36106-1109
(334) 293-8147
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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