MEDICARE: J PAUL JONES 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
1	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1548674013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J PAUL JONES HOSPITAL

Provider Business Mailing Address
First Line	:	317 MCWILLIAMS AVE
Second Line	:
City	:	CAMDEN
State	:	AL
Zip	:	36726-1610
Country	:	US
Telephone Number	:	334-682-4131
Fax Number	:	334-682-4131

Provider Business Practice Location Address
First Line	:	45 INDUSTRIAL PARK DRIVE W
Second Line	:
City	:	PINE HILL
State	:	AL
Zip	:	36769-3126
Country	:	US
Telephone Number	:	334-963-2113
Fax Number	:	334-963-2116

Authorized Official
Title or Position	:	CEO/ADMINISTRATOR
Name	:	JESSICA MCGRAW
Credential	:
Telephone Number	:	334-682-4131

Provider Enumeration Date	:	06/12/2014
Last Update Date	:	04/01/2025

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