Organization
CITY OF JACKSON HEALTHCARE AUTHORITY
Active
Other names
Jackson Medical Center Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RYLAND (CEO)
(251) 246-9021
Entity
Organization
Contact information
Practice address
3004 N COLLEGE AVE, JACKSON, AL 36545-2237
(251) 247-0424
(251) 247-0428
Mailing address
3004 N COLLEGE AVE, JACKSON, AL 36545-2237
(251) 247-0424
(251) 247-0428
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
11779
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-99896
BLUE CROSS BLUE SHIELD
AL
05
—
JAC7112A
—
AL
Enumeration date
08/08/2006
Last updated
09/24/2025
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