MEDICARE: JACKSON PARISH 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	282NC0060X	Critical Access Hospital	230	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	04730	OTHER	LA	BCBSLA INSURANCE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	90083	OTHER	LA	BCBSLA INSURANCE

General Provider Information

NPI Number	:	1093793408
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JACKSON PARISH HOSPITAL

Provider Business Mailing Address
First Line	:	165 BEECH SPRINGS RD
Second Line	:
City	:	JONESBORO
State	:	LA
Zip	:	71251
Country	:	US
Telephone Number	:	318-259-4435
Fax Number	:	318-395-4259

Provider Business Practice Location Address
First Line	:	165 BEECH SPRINGS RD
Second Line	:
City	:	JONESBORO
State	:	LA
Zip	:	71251
Country	:	US
Telephone Number	:	318-259-4435
Fax Number	:	318-395-4259

Authorized Official
Title or Position	:	CEO
Name	:	JOHN MORGAN
Credential	:
Telephone Number	:	318-395-4223

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	10/01/2025

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Directions to “JACKSON PARISH HOSPITAL ” Practice Location

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