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Contact Information

JACKSON-MADISON COUNTY GENERAL HOSPITAL
1061 WEST FOREST AVENUE
JACKSON, TN38301-3879
 Phone: 731-660-6954
 Fax: 731-660-3549
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Home Infusion

251F00000X
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for JACKSON-MADISON COUNTY GENERAL HOSPITAL

NPI # 1366432122
LBN Legal business name JACKSON-MADISON COUNTY GENERAL HOSPITAL
Authorized official TINA PRESCOTT - (PRESIDENT AND CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/24/2005
Last updated 07/02/2025 - About 11 months ago
Identifiers
TN License # 0000003211
TN License # 3211
TN License # 419
TN Medicaid 1452390
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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