Organization
JACKSON MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY GIBSON (CEO)
(251) 246-1154
Entity
Organization
Contact information
Practice address
220 HOSPITAL DR, JACKSON, AL 36545-2459
(251) 246-1154
(251) 246-1108
Mailing address
PO BOX 250, GROVE HILL, AL 36451-0250
(251) 246-1154
(251) 246-1108
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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