Imc-Family Medical Of Jackson, Pc in Jackson - Rural Health
Imc-Family Medical Of Jackson, Pc - NPI 1750393682
Imc-Family Medical Of Jackson, Pc is a Rural Health in Jackson, Alabama. Imc-Family Medical Of Jackson, Pc practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Imc-Family Medical Of Jackson, Pc is 1750393682. The last update date is 2018-02-23.
Imc-Family Medical Of Jackson, Pc's current location address is 227 Hospital Dr, Jackson, Alabama. You can contact this provider via phone number 2512464446 and fax number 2512465111. The mailing address for Imc-Family Medical Of Jackson, Pc is 227 Hospital Dr, Jackson, Alabama. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Imc-Family Medical Of Jackson, Pc |
---|---|
Address | 227 Hospital Dr, Jackson, Alabama |
Phone Number | 2512464446 |
Fax Number | 2512465111 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
---|---|
Authorized Official Name | Crosby S Sidney |
Credentials | M.D. |
Telephone Number | 2512464446 |
NPI Number Detail
NPI Number | 1750393682 |
---|---|
Provider Enumeration Date | 2006-08-12 |
Last Updated Date | 2018-02-23 |
Provider Mailing Address Detail
Address | 227 Hospital Dr |
---|---|
City | Jackson |
State | Alabama (AL) |
Post Code | 365452423 |
Phone Number | 2512464446 |
Fax Number | 2512465111 |
Provider's Primary Taxonomy Detail
Speciality | Rural Health |
---|---|
Taxonomy | 261Qr1300X |
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
529700760 | AL | -- | |
541003926 | AL | MEDICAID GROUP # | |
541003926 | AL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Imc-Family Medical Of Jackson, Pc by the Centers for Medicare & Medicaid Services?
The Imc-Family Medical Of Jackson, Pc has been assigned the NPI (National Provider Identifier) 1750393682 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Imc-Family Medical Of Jackson, Pc's facilities are geographically located?
The facilities of Imc-Family Medical Of Jackson, Pc are physically situated at the following location: 227 Hospital Dr, Jackson, AL, 365452423.
What is the Imc-Family Medical Of Jackson, Pc's specialty and taxonomy code?
The Imc-Family Medical Of Jackson, Pc's specialty is Rural Health, and the corresponding taxonomy code is 261Qr1300X.
On what date did the Imc-Family Medical Of Jackson, Pc receive the assignment of its 1750393682 from the Centers for Medicare & Medicaid Services?
The Imc-Family Medical Of Jackson, Pc was issued its 1750393682 by the Centers for Medicare & Medicaid Services on 2006-08-12.
When was the information regarding Imc-Family Medical Of Jackson, Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Imc-Family Medical Of Jackson, Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-02-23.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN