Jackson Clinic Gastro Ste 406

LBN: Jackson Hospital & Clinic, Inc.
Jackson Clinic Gastro Ste 406 is an health care organization with primary practice located at 1722 Pine St Ste 406 , Montgomery AL 36106-1159. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Jackson Hospital & Clinic, Inc. can be contacted via phone (334) 293-6825, or through Walker, Shalicia via phone (334) 293-8736.

Contact Information

Primary practice address
1722 Pine St Ste 406 Montgomery AL 36106-1159
Phone: (334) 293-6825
Fax: (334) 293-6826
Website:
Map and Directions
Authorized official contact:
Name: Walker, Shalicia
Phone: (334) 293-8736

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1316447063
LBN Legal business name Jackson Hospital & Clinic, Inc.
DBA Doing business as Jackson Clinic Gastro Ste 406
Authorized official Walker, Shalicia
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2018
Last updated Oct 23rd, 2023 - about 3 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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