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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
13336S0011XSpecialty Pharmacy
23336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1053011791
Entity Type Code : Organization
Provider Name (Legal Business Name) : JACKSON MADISON COUNTY GENERAL HOSPITAL
Provider Business Mailing Address
First Line : 367 HOSPITAL BLVD
Second Line :
City : JACKSON
State : TN
Zip : 38305-2080
Country : US
Telephone Number : 731-661-2260
Fax Number : 731-661-2261
Provider Business Practice Location Address
First Line : 367 HOSPITAL BOULEVARD
Second Line : 1ST FLOOR SUITE 101
City : JACKSON
State : TN
Zip : 38305-2080
Country : US
Telephone Number : 731-661-2260
Fax Number : 731-661-2261
Authorized Official
Title or Position : EXECUITVE DIRECTOR OF PHARMACY
Name : WILLIAM MCMINN
Credential :
Telephone Number : 731-541-6229
Provider Enumeration Date : 03/09/2023
Last Update Date : 02/27/2026

Similar Medicare Providers

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Practice Location Address:
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1376548503 — DAVID M LAIRD MD
Practice Location Address:
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1356346142 — DEAN P CURRIE MD
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1083609770 — JOHN J BALL MD
Practice Location Address:
379 HOSPITAL BLVD
JACKSON, TN
38305-2080
Practice Phone: 731-660-3344
Practice Fax: 731-660-3347
1922094283 — JULIE D JOYCE CRNA
Practice Location Address:
367 HOSPITAL BLVD , REGIONAL HOSPITAL OF JACKSON
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1386630440 — MARTHA B HINES CRNA
Practice Location Address:
367 HOSPITAL BLVD , REGIONAL HOSPITAL OF JACKSON
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Practice Fax: 731-661-2228

Directions to “JACKSON MADISON COUNTY GENERAL HOSPITAL ” Practice Location

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