| Jackson Hospital And Clinic, Inc. | |
|
204 Medical Center Dr Prattville AL 36066-7288 | |
| (334) 361-3090 | |
| (334) 361-2090 |
| Full Name | Jackson Hospital And Clinic, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 204 Medical Center Dr, Prattville, Alabama |
| Authorized Official Name and Position | Tara Herring (REVENUE CYCLE DIRECTOR) |
| Authorized Official Contact | 3342938736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Hospital And Clinic, Inc. 1722 Pine St Ste 203 Montgomery AL 36106-1158 Ph: (334) 293-8736 | Jackson Hospital And Clinic, Inc. 204 Medical Center Dr Prattville AL 36066-7288 Ph: (334) 361-3090 |
| NPI Number | 1477171072 |
|---|---|
| Provider Enumeration Date | 07/09/2020 |
| Last Update Date | 07/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477171072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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