East Jackson Family Med Center

LBN: Jackson Madison County General Hospital
East Jackson Family Med Center is an health care organization with primary practice located at 655 Lexington Ave , Jackson TN 38301-5075. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Jackson Madison County General Hospital can be contacted via phone (731) 425-7909, or through Barron, Kevin via phone (731) 425-4909.

Contact Information

Primary practice address
655 Lexington Ave Jackson TN 38301-5075
Phone: (731) 425-7909
Fax: (731) 265-5087
Website:
Map and Directions
Authorized official contact:
Name: Barron, Kevin RPH
Phone: (731) 425-4909

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 0000003148 Tennessee
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1073683884
LBN Legal business name Jackson Madison County General Hospital
DBA Doing business as East Jackson Family Med Center
Authorized official Barron, Kevin RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2006
Last updated Oct 14th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073683884 NPPES
Other 2092162 PK

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