NPIMap

Organization Active NPI

Gilliard Health Services

Doing business as Jackson Medical Center

  • Rural Acute Care Hospital
  • Jackson, AL
National Provider Identifier
1598770943
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
11779 Issued in AL
Legal business name
GILLIARD HEALTH SERVICES
Doing business as
Jackson Medical Center
Practice address
220 Hospital Dr
Jackson, AL 36545-2459
Phone
(251) 246-9021
Fax
(251) 246-1122
NPI assigned
Jul 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jennifer Ryland
Title
Assistant Administrator
Phone
(251) 246-9021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 11779 AL Primary

Addresses

Primary practice location

220 Hospital Dr
Jackson, AL 36545-2459

Mailing address

220 Hospital Dr
Jackson, AL 36545-2459
Phone (251) 246-9021

Other identifiers 2

IdentifierTypeStateIssuer
01-115OtherALBCBS
HOS0128HMedicaidAL

Other names 1

  • JACKSON MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598770943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HOSPITAL DR",
            "city": "JACKSON",
            "state": "AL",
            "postal_code": "365452459",
            "telephone_number": "251-246-9021",
            "fax_number": "251-246-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HOSPITAL DR",
            "city": "JACKSON",
            "state": "AL",
            "postal_code": "365452459",
            "telephone_number": "251-246-9021",
            "fax_number": "251-246-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLIARD HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RYLAND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "251-246-9021"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "AL",
            "license": "11779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01-115",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOS0128H",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JACKSON MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.