Jackson Hospital & Clinic, Inc.
General Acute Care Hospital
1725 Pine St, Department Of Pharmacy, Montgomery
Alabama, 36106-1109
334-293-8780 334-293-8791
Jackson Hospital & Clinic, Inc. is an authorized DME supplier for medicare equipments and products.
Jackson Hospital & Clinic, Inc. is a General Acute Care Hospital in Montgomery, Alabama. It is located at 1725 Pine St, Department Of Pharmacy, Montgomery and it's customer support contact number is 334-293-8780. The authorized person of Jackson Hospital & Clinic, Inc. is Richard F Mann who is President of the pharmacy and his contact number is 334-293-8820. Active license number of Jackson Hospital & Clinic, Inc. is PA88 for General Acute Care Hospital in Alabama. Jackson Hospital & Clinic, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Jackson Hospital & Clinic, Inc. is 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.
Pharmacy Details:
Jackson Hospital & Clinic, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Jackson Hospital & Clinic, Inc. |
| Type: | General Acute Care Hospital |
| Location: | 1725 Pine St, Department Of Pharmacy, Montgomery, Alabama, 36106-1109 |
| Phone: | 334-293-8780 |
| Fax: | 334-293-8791 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Richard F Mann |
| Position: | President |
| Contact Number: | 334-293-8820 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1043262488 |
| NPI Enumeration Date: | 16 May, 2006 |
| NPI Last Update On: | 22 Jun, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jackson Hospital & Clinic, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| General Acute Care Hospital | PA88 | Alabama | Primary | |
| Pharmacy | 140004 | Alabama | Secondary | |
| Pharmacy | 2162053 | Alabama | Secondary | |
| Institutional Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2162053 | Other | | Pk |
Medicare Enrollment:
Jackson Hospital & Clinic, Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0547254153 | O20081105000456 | Jackson Hospital And Clinic, Inc. | PART A PROVIDER - HOSPITAL |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1725 Pine Street, Montgomery, Alabama |
| Zip: | 36106-1103 |
| Phone Number: | 334-293-8000 |
| Fax Number: | 334-293-8161 |
Patients can reach Jackson Hospital & Clinic, Inc. at
1725 Pine St, Department Of Pharmacy, Montgomery, Alabama or can
call on customer care at 334-293-8780.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.