Jackson Medical Center, L.l.c., NPI 1770593204
Home Health Agency in Jackson, AL, US
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 | 1770593204 |
| NPI Entity Type | Organization |
| Provider Name |
Jackson Medical Center, L.l.c.
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 112 Forest Ave, Jackson, AL, US |
| Provider Mailing Address | 112 Forest Ave, Jackson, AL, US, 365452714 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Casey Hawk |
| Official Position | HOME HEALTH DIRECTOR |
| Phone | 251-247-0424 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Home Health Agency |
| Classification | |
| Group | |
| License No. | 11779 |
| License State | AL |
| Description | 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. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| JAC7112A | AL | MEDICAID | 05 |
| 510-99896 | AL | BLUE CROSS BLUE SHIELD | 01 |
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Amanda J August Individual |
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DR. M.D. Harrison B Pearl Individual |
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Hemant K Sinha Pc Organization |
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M.D. Robert Detrinis Individual |
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MD Anand Shanker Balachandran Individual |
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