Organization
CITY OF JACKSON HEALTHCARE AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RYLAND (CEO)
(251) 246-1159
Entity
Organization
Contact information
Practice address
220 HOSPITAL DR, JACKSON, AL 36545-2459
(251) 754-9300
Mailing address
220 HOSPITAL DR, JACKSON, AL 36545-2459
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
H1302
AL
282NR1301X
Rural Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010115
BLUE CROSS
AL
05
—
HOS0128H
—
AL
Enumeration date
03/22/2007
Last updated
03/24/2025
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