St Dominic-jackson Memorial Hospital, NPI 1306876065
General Acute Care Hospital in Jackson, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1306876065
NPI Entity Type Organization
Provider Name St Dominic-jackson Memorial Hospital
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 969 Lakeland Dr, Jackson, MS, US
Provider Mailing Address 969 Lakeland Dr, Jackson, MS, US, 392164606
Is Sole Proprietor? No
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Organization Official

Official Name MR. CPA, FHFMA Peter G Koury
Official Position EXECTIVE VICE PRESIDENT
Phone 601-200-6950

Primary Taxonomy

Taxonomy Code

282N00000X

Taxonomy Name General Acute Care Hospital
Classification

General Acute Care Hospital

Group

Hospitals

License No. 14-031
License State MS
Description An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Business Address

St Dominic-jackson Memorial Hospital
969 Lakeland Dr

Jackson, MS, US

Phone: 601-200-2000
Fax: 601-200-0924

Mailing Address

St Dominic-jackson Memorial Hospital
969 Lakeland Dr
Jackson, MS, US
ZIP 392164606
Phone: 601-200-2000
Fax: 601-200-0924

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IDD WAIVER SERVICES Pamela Mcandrews

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