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Sonny Montgomery V A M Edical Center
Chronic Disease Hospital in Jackson, Mississippi
NPI 1013014695

Sonny Montgomery V A M Edical Center is a Chronic Disease Hospital based in Bolton, MS. Sonny Montgomery V A M Edical Center practices in Jackson, MS. The NPI Number for Sonny Montgomery V A M Edical Center is 1013014695 and holds a License No. R725005 (Mississippi).

The current practice location address for Sonny Montgomery V A M Edical Center is 1500 E Woodrow Wilson Ave, Jackson, MS and can be reached out via phone at 601-362-4471.

Location: 1500 E Woodrow Wilson Ave, Jackson, MS, 39041-9387
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013014695
Provider Name
Sonny Montgomery V A M Edical Center
Credential
Provider Entity Type
Organization
Address
1500 E Woodrow Wilson Ave, Jackson, MS, 39041-9387
Phone Number
601-362-4471
Fax Number
Provider Enumeration Date
09/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1500 E Woodrow Wilson Ave
City
Jackson
State
Mississippi
Zip
39216-5116
Phone Number
601-362-4471
Fax Number
person
Provider Business Mailing Address Details
Address
1500 E Woodrow Wilson Ave
City
Jackson
State
Mississippi
Zip
39216-5116
Phone Number
601-362-4471
Fax Number
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Chronic Disease Hospital
Speciality
-
Taxonomy
281P00000X
License No.
R725005 (Mississippi)
Definition
(1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes.
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