NPIMap

Organization Active NPI

Gilliard Health Services

  • 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
Practice address
220 Hospital Dr
Jackson, AL 36545-2459
Phone
(251) 246-9021
Fax
(251) 246-1122
NPI assigned
Jul 31, 2006
Organization subpart
No

Authorized official

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

Member of 1

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

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

National Provider Directory

National Provider Directory

Locations

101 Crestview Ave
Evergreen, AL 36401
Phone (251) 578-0184

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

NPPES NPI Registry
IdentifierTypeStateIssuer
01-115OtherALBCBS
HOS0128HMedicaidAL

Other names 1

NPPES NPI Registry
  • JACKSON MEDICAL CENTER Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "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.