EMERGENCY ROOM
NPI 1043430226
General Acute Care Hospital in Jackson, AL
- Organization
- General Acute Care Hospital
- CLIA Number: 01D0305356
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 01-27-2027
About EMERGENCY ROOM
This page provides the complete NPI Profile along with additional information for Emergency Room, a provider established in Jackson, Alabama operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1043430226 assigned on April 2007. The practitioner's primary taxonomy code is 282N00000X with license number H1032 (AL). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is Emergency Room. The authorized official of this NPI record is Jennifer Ryland (Assistant Administrator)
- NPI
- 1043430226 Verify this NPI
- Provider Legal Name
- JACKSON MEDICAL CENTER, L.L.C.
- Other Organization Name
- EMERGENCY ROOM
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 220 HOSPITAL DR JACKSON, AL 36545
- Location Phone
- (251) 246-9021
- Location Fax
- (251) 246-1122
- Mailing Address
- 220 HOSPITAL DR JACKSON, AL 36545
- Mailing Phone
- (251) 246-9021
- Mailing Fax
- (251) 246-1122
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-27-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Acute Care Hospital
- Taxonomy Code
- 282N00000X
- Type
- Hospitals
- License No.
- H1032
- License State
- AL
- Taxonomy Description
- 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 patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 010115 | OTHER (01) | AL | BLUE CROSS BLUE SHIELD |
| HOS0128H | MEDICAID (05) | AL |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 01D0305356
- Facility Type
- Hospital
- Certificate Effective Date
- January 28, 2025
- Certificate Expiration Date
- January 27, 2027
- Laboratory Director
- PETER K. BRYANT-GREENWOOD
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Emergency Room after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
JACKSON, AL 36545
JACKSON, AL 36545
JACKSON, AL 36545
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043430226, enumerated as an "organization" on April 27, 2007.
The provider is located at 220 HOSPITAL DR JACKSON, AL 36545 and the phone number is (251) 246-9021.
General Acute Care Hospital with taxonomy code 282N00000X.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
