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Contact Information

JACKSON HEALTH CARE FACILITY, LLC
2616 COLLEGE AVE
JACKSON, AL36545-2469
 Phone: 251-246-2476
 Fax: 251-246-2437
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for JACKSON HEALTH CARE FACILITY, LLC

NPI # 1538128095
LBN Legal business name JACKSON HEALTH CARE FACILITY, LLC
Authorized official NOEL DUNNAM - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/22/2006
Last updated 03/06/2024 - About 2 years ago
Identifiers
AL License # 12499
AL Medicaid 4753010S
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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