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Jackson Medical Center, L.l.c.
Home Health Agency in Jackson, Alabama
NPI 1770593204

Jackson Medical Center, L.l.c. is a Home Health Agency based in Jackson, AL. Jackson Medical Center, L.l.c. practices in Jackson, AL. The NPI Number for Jackson Medical Center, L.l.c. is 1770593204 and holds a License No. 11779 (Alabama).

The current practice location address for Jackson Medical Center, L.l.c. is 112 Forest Ave, Jackson, AL and can be reached out via phone at 251-247-0424 and via fax at 251-247-0428.

Location: 112 Forest Ave, Jackson, AL, 36545-2714
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770593204
Provider Name
Jackson Medical Center, L.l.c.
Credential
Provider Entity Type
Organization
Address
112 Forest Ave, Jackson, AL, 36545-2714
Phone Number
251-247-0424
Fax Number
251-247-0428
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
JAC7112A 05 AL
510-99896 01 AL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
112 Forest Ave
City
Jackson
State
Alabama
Zip
36545-2714
Phone Number
251-247-0424
Fax Number
251-247-0428
person
Provider Business Mailing Address Details
Address
112 Forest Ave
City
Jackson
State
Alabama
Zip
36545-2714
Phone Number
251-247-0424
Fax Number
251-247-0428
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
11779 (Alabama)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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