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NPI Code Detail

MEDICARE: JACKSON-MADISON COUNTY GENERAL HOSPITAL

MEDICARE: JACKSON-MADISON COUNTY GENERAL HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13416L0300XLand AmbulanceEMS0000010066TN
23416L0300XLand AmbulanceEMS0000010067TN
33416L0300XLand AmbulanceEMS0000005702TN

General Provider Information

NPI Number : 1164786257
Entity Type Code : Organization
Provider Name (Legal Business Name) : JACKSON-MADISON COUNTY GENERAL HOSPITAL
Provider Business Mailing Address
First Line : 620 SKYLINE DR
Second Line :
City : JACKSON
State : TN
Zip : 38301-3923
Country : US
Telephone Number : 731-541-5000
Fax Number : 336-200-7023
Provider Business Practice Location Address
First Line : 620 SKYLINE DR
Second Line :
City : JACKSON
State : TN
Zip : 38301-3923
Country : US
Telephone Number : 731-541-5000
Fax Number : 336-200-7023
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : MS. TINA PRESCOTT
Credential :
Telephone Number : 731-541-5000
Provider Enumeration Date : 07/03/2012
Last Update Date : 03/06/2026

Similar Medicare Providers

1770431249 — JAMES DUSTIN JONES RN
Practice Location Address:
620 SKYLINE DR
JACKSON, TN
38301-3923
Practice Phone: 731-541-5000
Practice Fax:
1821094608 — JULIE A MCBROOM CRNA
Practice Location Address:
620 SKYLINE DR
JACKSON, TN
38301-3923
Practice Phone: 731-668-1853
Practice Fax: 731-664-7731
1700886553 — DR. MARVIN TYRONE MILLER M.D.
Practice Location Address:
620 SKYLINE DR
JACKSON, TN
38301-3923
Practice Phone: 731-541-8154
Practice Fax: 731-541-6068
1255327292 — STEPHANIE L COPELAND CRNA
Practice Location Address:
620 SKYLINE DR
JACKSON, TN
38301-3923
Practice Phone: 523-592-9957
Practice Fax:
1831185503 — RICHMOND A HIGGINBOTHAM CRNA
Practice Location Address:
620 SKYLINE DR
JACKSON, TN
38301-3923
Practice Phone: 731-541-7070
Practice Fax: 731-541-7075
1730162876 — DR. NATHAN JOHN HOELDTKE M.D.
Practice Location Address:
620 SKYLINE DR , MID-SOUTH PERINATAL ASSOCIATES
JACKSON, TN
38301-3923
Practice Phone: 731-541-6939
Practice Fax: 731-541-4570

Directions to “JACKSON-MADISON COUNTY GENERAL HOSPITAL ” Practice Location

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