Contract Details
Jackson Hospital and Clinic, Inc.
Facility name
Jackson Hospital
Provider ID
P000002543
NPI
1043262488
Tax ID
636001820
Effective Date
2/1/1998
Last Updated
7/13/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_027
Location Details
Address
1725 Pine Street
Montgomery, AL 36106
United States
County
Montgomery
Phone
3342938000 (Phone)
Billing Details
Address
1725 Pine Street
11th Floor
Montgomery, AL 36106
Billing Phone
3342938000
Specialty Type
Hospital, Acute Care
Map
Address