| Jackson Hospital And Clinic, Inc | |
|
2175 Us Highway 31 N Deatsville AL 36022-2714 | |
| (334) 568-2120 | |
| Not Available |
| Full Name | Jackson Hospital And Clinic, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2175 Us Highway 31 N, Deatsville, Alabama |
| Authorized Official Name and Position | Tara Herring (REVENUE CYCLE DIRECTOR) |
| Authorized Official Contact | 3342402337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 2175 Us Highway 31 N Deatsville AL 36022-2714 Ph: (334) 568-2120 |
| NPI Number | 1215519418 |
|---|---|
| Provider Enumeration Date | 04/27/2021 |
| Last Update Date | 04/27/2021 |
| Medicare PECOS PAC ID | 0547254153 |
|---|---|
| Medicare Enrollment ID | O20230130000163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215519418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Steven L Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508814922 PECOS PAC ID: 4183602758 Enrollment ID: I20041206000210 |
Pine Level Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2175 Us Highway 31 N, Deatsville, AL 36022 Phone: 334-358-3777 Fax: 334-358-0026 | |
Ivy Creek Family Care Of Holtville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4412 Hogan Rd, Deatsville, AL 36022 Phone: 334-514-4851 Fax: 334-543-4854 |