Jackson Hospital & Clinic, Inc.

LBN: Jackson Hospital & Clinic, Inc.
Jackson Hospital & Clinic, Inc. is an health care organization with primary practice located at 1725 Pine St Department Of Pharmacy, Montgomery AL 36106-1109. The organization recently has 3 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Suppliers / Pharmacy, Suppliers / Institutional Pharmacy. Hospitals / General Acute Care Hospital is the primary health care specialty. Jackson Hospital & Clinic, Inc. can be contacted via phone (334) 293-8780, or through Mann, Richard F via phone (334) 293-8820.

Contact Information

Primary practice address
1725 Pine St Department Of Pharmacy Montgomery AL 36106-1109
Phone: (334) 293-8780
Fax: (334) 293-8791
Website:
Map and Directions
Authorized official contact:
Name: Mann, Richard F
Phone: (334) 293-8820

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X PA88 Alabama
Suppliers / Pharmacy 333600000X 140004 Alabama
Suppliers / Pharmacy 333600000X 2162053 Alabama
Suppliers / Institutional Pharmacy 3336I0012X

Profile Details

NPI number 1043262488
LBN Legal business name Jackson Hospital & Clinic, Inc.
DBA Doing business as Jackson Hospital & Clinic, Inc.
Authorized official Mann, Richard F
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Jun 22nd, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043262488 NPPES
Other 2162053 PK

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