Jackson-Madison County General Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000171 Issued in TN

Legal business name

JACKSON-MADISON COUNTY GENERAL HOSPITAL

Doing business as

West Tennessee Transitional Care

Practice address

670 Skyline Dr
Jackson, TN 38301-3934

Phone

(731) 541-6226

Fax

(731) 541-4931

NPI assigned

Oct 24, 2005

Last updated

Aug 9, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

JACKSON-MADISON COUNTY GENERAL HOSPITALAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Bobby Arnold

Title

President and Ceo

Phone

(731) 541-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• West Tennessee Transitional Care Doing business as

Part of

Jackson-Madison Cty GNR

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249776000000",
    "number": "1194715987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 SKYLINE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013934",
            "telephone_number": "731-541-6226",
            "fax_number": "731-541-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 SKYLINE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013934",
            "telephone_number": "731-541-6226",
            "fax_number": "731-541-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON-MADISON COUNTY GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACKSON-MADISON COUNTY GENERAL HOSPITAL",
        "enumeration_date": "2005-10-24",
        "last_updated": "2009-08-09",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "731-541-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445187",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Tennessee Transitional Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jackson-Madison County Gen Hospital
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• Jackson-Madison County General Hospital (Medical Center EMS)
• Jackson-Madison County General Hospital (Medical Center Medical Products Infusion Services)
• Jackson-Madison County General Hospital (Medical Center Laboratory)
• Jackson-Madison County General Hospital District (Medical Center Home Health)
• Jackson-Madison County General Hospital District
• Don M Jackson, CRNA

• Skilled Nursing Facility in Jackson, TN
• Providers in Jackson, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.