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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
1282N00000XGeneral Acute Care Hospital0000000078TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093705428
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 :
Provider Business Practice Location Address
First Line : 620 SKYLINE DR
Second Line :
City : JACKSON
State : TN
Zip : 38301-3901
Country : US
Telephone Number : 731-541-5000
Fax Number : 731-660-8739
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : MS. TINA PRESCOTT
Credential :
Telephone Number : 731-541-5000
Provider Enumeration Date : 10/26/2005
Last Update Date : 10/30/2025

Similar Medicare Providers

1225005846 — RICHARD A OBERG MD
Practice Location Address:
708 W FOREST AVE
JACKSON, TN
38301-3901
Practice Phone: 731-660-8759
Practice Fax:
1417958216 — DR. ROBERT E TURNER III MD
Practice Location Address:
708 W FOREST AVE
JACKSON, TN
38301-3901
Practice Phone: 731-541-3570
Practice Fax:
1225029390 — JACKSON MADISON COUNTY GENERAL HOSPITAL
Practice Location Address:
620 SKYLINE DRIVE
JACKSON, TN
38301-3901
Practice Phone: 731-541-6930
Practice Fax: 731-541-6218
1013995547 — DR. DONALD CHARLES CORRELL MD
Practice Location Address:
708 W FOREST AVE
JACKSON, TN
38301-3901
Practice Phone: 731-425-6280
Practice Fax: 731-425-4922
1790764223 — THOMAS PHILLIP NORSWORTHY M.D.
Practice Location Address:
708 W FOREST AVE
JACKSON, TN
38301-3901
Practice Phone: 731-425-6280
Practice Fax: 731-425-4922
1558340026 — MARK WILLIAM TRAUGH P.A.
Practice Location Address:
708 W FOREST AVE
JACKSON, TN
38301-3901
Practice Phone: 731-425-6280
Practice Fax: 731-425-4922

Directions to “JACKSON MADISON COUNTY GENERAL HOSPITAL ” Practice Location

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