Active NPI
Jackson-Madison County General Hospital District
- Home Health Agency
- Jackson, TN
National Provider Identifier
1104816792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 0000000174
- Legal business name
- JACKSON-MADISON COUNTY GENERAL HOSPITAL DISTRICT
- Practice address
- 33 Directors Row
Jackson, TN 38305-2315 - Phone
- (731) 984-2000
- Fax
- (731) 984-2079
- NPI assigned
- Oct 25, 2005
- Organization subpart
- Yes
- Parent organization
- JACKSON-MADISON COUNTY GENERAL HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Ross
- Title
- Interim President and Ceo
- Phone
- (731) 425-5000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 0000000174 | TN | Primary |
Addresses
Primary practice location
33 Directors Row
Jackson, TN 38305-2315
Mailing address
33 Directors Row
Jackson, TN 38305-2316
Phone (731) 984-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0044-7101 | Medicaid | TN |
Other names 1
- Medical Center Home Health
National Provider Directory
National Provider Directory- Part of
- Jere Hammond MD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461888000000",
"number": "1104816792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 DIRECTORS ROW",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052316",
"telephone_number": "731-984-2000",
"fax_number": "731-984-2079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 DIRECTORS ROW",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052315",
"telephone_number": "731-984-2000",
"fax_number": "731-984-2079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACKSON-MADISON COUNTY GENERAL HOSPITAL DISTRICT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JACKSON-MADISON COUNTY GENERAL HOSPITAL",
"enumeration_date": "2005-10-25",
"last_updated": "2016-04-29",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "INTERIM PRESIDENT AND CEO",
"authorized_official_telephone_number": "731-425-5000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TN",
"license": "0000000174",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0044-7101",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medical Center Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Jackson, TN
- Jackson-Madison County General Hospital
- Jackson-Madison County General Hospital
- Jackson-Madison County General Hospital
- Jackson-Madison County General Hospital
- Jackson-Madison County General Hospital
- Jackson-Madison County General Hospital District
- Don M Jackson, CRNA
- Sara W Jackson, APRN
- Cody Allen Jacobs, PHARMD
- Prathmesh Jain, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.