| Jackson Hospital And Clinic, Inc. | |
|
701 Mcqueen Smith Rd S Prattville AL 36066-7503 | |
| (334) 351-2040 | |
| (334) 351-2047 |
| Full Name | Jackson Hospital And Clinic, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 701 Mcqueen Smith Rd S, Prattville, Alabama |
| Authorized Official Name and Position | Tara C. Herring (REVENUE CYCLE DIRECTOR) |
| Authorized Official Contact | 3342402337 |
| 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 503 Montgomery AL 36106-1103 Ph: () - | Jackson Hospital And Clinic, Inc. 701 Mcqueen Smith Rd S Prattville AL 36066-7503 Ph: (334) 351-2040 |
| NPI Number | 1720325889 |
|---|---|
| Provider Enumeration Date | 01/09/2013 |
| Last Update Date | 03/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720325889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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