| Jackson Hospital - Geriatric Psych Unit | |
|
1725 Pine St Montgomery AL 36106-1109 | |
| (334) 293-8000 | |
| (334) 293-8972 |
| Full Name | Jackson Hospital - Geriatric Psych Unit |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1725 Pine St, Montgomery, Alabama |
| Authorized Official Name and Position | Joe Riley (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3342938809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Hospital - Geriatric Psych Unit 1725 Pine St Montgomery AL 36106-1109 Ph: (334) 293-8000 | Jackson Hospital - Geriatric Psych Unit 1725 Pine St Montgomery AL 36106-1109 Ph: (334) 293-8000 |
| NPI Number | 1730597816 |
|---|---|
| Provider Enumeration Date | 08/01/2014 |
| Last Update Date | 08/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730597816 | NPI | - | NPPES |
| HOS0024H | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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