SONNY MONTGOMERY V A M EDICAL CENTER
NPI 1013014695
Chronic Disease Hospital in Jackson, MS

Q: What is Sonny Montgomery V A M Edical Center's NPI number?

The NPI number for Sonny Montgomery V A M Edical Center is 1013014695. It was assigned to this organization in the NPPES registry on September 17, 2006.

Q: What is Sonny Montgomery V A M Edical Center's specialty?

The primary specialty registered for this NPI is Chronic Disease Hospital with taxonomy code 281P00000X.

Active since September 17, 2006

1500 E WOODROW WILSON AVE, JACKSON, MS 39216(601) 362-4471 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sonny Montgomery V A M Edical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SONNY MONTGOMERY V A M EDICAL CENTER (NPI 1013014695) is a healthcare organization registered as a chronic disease hospital in Jackson, Mississippi and active in the NPI registry since September 2006. The organization lists Linda Ruth Mack, Certified Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1013014695

Entity TypeOrganization

Primary Taxonomy281P00000X

Legal Business NameSONNY MONTGOMERY V A M EDICAL CENTER

Location Address1500 E WOODROW WILSON AVEJackson, MS 39216-5116

Mailing Address1973 Houston RdBolton, MS 39041-9387 · (601) 866-2429

Phone(601) 362-4471

Organization SubpartNo

Authorized OfficialLinda Ruth MackCertified Nurse Practitioner · (601) 362-4471

Enumeration DateSeptember 17, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1013014695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChronic Disease HospitalHospitals

Taxonomy Code281P00000X

License✔ Licensed in MS · R725005

Definition

(1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes.

1500 E WOODROW WILSON AVE, Jackson, MS 39216

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA ALLENE GRAIG RN

Registered Nurse