St Dominic-Jackson Memorial Hospital in Jackson - General Acute Care Hospital
St Dominic-Jackson Memorial Hospital - NPI 1306876065
St Dominic-Jackson Memorial Hospital is a General Acute Care Hospital in Jackson, Mississippi. St Dominic-Jackson Memorial Hospital practices all healthcare services and medical treatments related to General Acute Care Hospital. The NPI Number for St Dominic-Jackson Memorial Hospital is 1306876065. The last update date is 2020-08-22.
St Dominic-Jackson Memorial Hospital's current location address is 969 Lakeland Dr, Jackson, Mississippi. You can contact this provider via phone number 6012002000 and fax number 6012000924. The mailing address for St Dominic-Jackson Memorial Hospital is 969 Lakeland Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St Dominic-Jackson Memorial Hospital |
|---|---|
| Address | 969 Lakeland Dr, Jackson, Mississippi |
| Phone Number | 6012002000 |
| Fax Number | 6012000924 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECTIVE V |
|---|---|
| Authorized Official Name | Koury G Peter |
| Credentials | CPA, FHFMA |
| Telephone Number | 6012006950 |
NPI Number Detail
| NPI Number | 1306876065 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 969 Lakeland Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164606 |
| Phone Number | 6012002000 |
| Fax Number | 6012000924 |
Provider's Primary Taxonomy Detail
| Speciality | General Acute Care Hospital |
|---|---|
| Taxonomy | 282N00000X |
| Licence No | 14-031 |
|
Definition: An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patien |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20034 | MS | -- |
Post Comment/ Review Below
What is the St Dominic-Jackson Memorial Hospital's 1306876065?
The St Dominic-Jackson Memorial Hospital's NPI (National Provider Identifier) Number is 1306876065. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where St Dominic-Jackson Memorial Hospital is geographically located?
The St Dominic-Jackson Memorial Hospital is physically situated at the following location: 969 Lakeland Dr, Jackson, MS, 392164606.
What is the St Dominic-Jackson Memorial Hospital's area of specialization and corresponding taxonomy classification?
The St Dominic-Jackson Memorial Hospital's specialty field is General Acute Care Hospital, and it falls under the taxonomy code 282N00000X, which categorizes healthcare providers based on their specialties.
On what date did the St Dominic-Jackson Memorial Hospital receive its 1306876065 assignment from the Centers for Medicare & Medicaid Services?
The St Dominic-Jackson Memorial Hospital was assigned its 1306876065 by the Centers for Medicare & Medicaid Services on 2006-07-05.
When was the St Dominic-Jackson Memorial Hospital's information last updated?
The St Dominic-Jackson Memorial Hospital's information was last updated on 2020-08-22.