| Jackson Hospital And Clinic, Inc | |
|
9521 Vaughn Rd Pike Road AL 36064-2292 | |
| (334) 293-8736 | |
| Not Available |
| Full Name | Jackson Hospital And Clinic, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 9521 Vaughn Rd, Pike Road, Alabama |
| Authorized Official Name and Position | Tara 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 203 Montgomery AL 36106-1158 Ph: (334) 293-8736 | Jackson Hospital And Clinic, Inc 9521 Vaughn Rd Pike Road AL 36064-2292 Ph: (334) 293-8736 |
| NPI Number | 1508533506 |
|---|---|
| Provider Enumeration Date | 08/26/2021 |
| Last Update Date | 08/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508533506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Tahir Siddiq Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 441 Chaseway Dr, Pike Road, AL 36064 Phone: 334-396-0201 | |
Jackson Family Medicine Pike Road Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11123 Chantilly Pkwy Ct, Ste M, Pike Road, AL 36064 Phone: 334-293-8888 |