CCN: 010024 NPI: 1043262488 Organization

JACKSON HOSPITAL & CLINIC INC

1725 PINE ST , DEPARTMENT OF PHARMACY
MONTGOMERY, AL 361061109

Contact Information

Phone 3342938780
Fax 3342938791
Enumeration Date 2006-05-16
Last Updated 2026-03-09

Taxonomies

Code: 3336I0012X
Code: 333600000X License State: AL License: 140004
Code: 333600000X License State: AL License: 2162053
Code: 282N00000X (Primary) License State: AL License: PA88

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.237

medicaidRatio 0.1812

uncompensatedCareAmount 1080.81

internsToBedsRatio 0.0341

vbpAdjustment 1.001320163

hhrAdjustment 0.9979

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.199

medicaidRatio 0.186

uncompensatedCareAmount 755.26

internsToBedsRatio 0.0405

vbpAdjustment 0.9885022352

hhrAdjustment 0.9983

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.199

medicaidRatio 0.186

uncompensatedCareAmount 755.26

internsToBedsRatio 0.0129

vbpAdjustment 0.9885022352

hhrAdjustment 0.9983

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.199

medicaidRatio 0.1794

uncompensatedCareAmount 755.26

internsToBedsRatio 0.0283

vbpAdjustment 0.9885022352

hhrAdjustment 0.9983

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.199

medicaidRatio 0.1794

uncompensatedCareAmount 755.26

internsToBedsRatio 0.0283

vbpAdjustment 0.9885022352

hhrAdjustment 0.9983

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.201

medicaidRatio 0.1794

uncompensatedCareAmount 755.26

internsToBedsRatio 0.0283

vbpAdjustment 0.9885022352

hhrAdjustment 0.9983

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.201

medicaidRatio 0.1794

uncompensatedCareAmount 776.62

internsToBedsRatio 0.0283

vbpAdjustment 0.9887787524

hhrAdjustment 0.9962

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.201

medicaidRatio 0.1656

uncompensatedCareAmount 776.62

internsToBedsRatio 0.0283

vbpAdjustment 0.9887787524

hhrAdjustment 0.9962

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.198

medicaidRatio 0.1656

uncompensatedCareAmount 776.62

internsToBedsRatio 0.0283

vbpAdjustment 0.9887787524

hhrAdjustment 0.9962

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.198

medicaidRatio 0.1656

uncompensatedCareAmount 776.62

internsToBedsRatio 0.0283

vbpAdjustment 0.9887787524

hhrAdjustment 0.9962

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.198

medicaidRatio 0.1656

uncompensatedCareAmount 776.62

internsToBedsRatio 0.0283

vbpAdjustment 0.9887787524

hhrAdjustment 0.9962

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.198

medicaidRatio 0.1873

uncompensatedCareAmount 776.62

vbpAdjustment 0.9887787524

hhrAdjustment 0.9962

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.198

medicaidRatio 0.1873

uncompensatedCareAmount 622.97

hhrAdjustment 0.9941

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.21

medicaidRatio 0.1873

uncompensatedCareAmount 622.97

hhrAdjustment 0.9941

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.21

medicaidRatio 0.1873

uncompensatedCareAmount 622.97

hhrAdjustment 0.9941

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.21

medicaidRatio 0.1873

uncompensatedCareAmount 622.97

hhrAdjustment 0.9941

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.21

medicaidRatio 0.1873

uncompensatedCareAmount 622.97

hhrAdjustment 0.9941

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.201

medicaidRatio 0.1873

uncompensatedCareAmount 622.97

hhrAdjustment 0.9941

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.201

medicaidRatio 0.1873

uncompensatedCareAmount 600.85

hhrAdjustment 0.9841

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.201

medicaidRatio 0.1873

uncompensatedCareAmount 600.85

hhrAdjustment 0.9841

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.201

medicaidRatio 0.1873

uncompensatedCareAmount 600.85

hhrAdjustment 0.9841

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.201

medicaidRatio 0.1873

uncompensatedCareAmount 600.85

hhrAdjustment 0.9841

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.201

medicaidRatio 0.1873

uncompensatedCareAmount 600.85

hhrAdjustment 0.9841

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.201

medicaidRatio 0.1873

uncompensatedCareAmount 724.17

vbpAdjustment 0.9929911526

hhrAdjustment 0.9838

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.177

medicaidRatio 0.1741

uncompensatedCareAmount 724.17

vbpAdjustment 0.9929911526

hhrAdjustment 0.9838

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.177

medicaidRatio 0.1741

uncompensatedCareAmount 724.17

vbpAdjustment 0.9929911526

hhrAdjustment 0.9838

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.177

medicaidRatio 0.1578

uncompensatedCareAmount 722.85

vbpAdjustment 0.9929911526

hhrAdjustment 0.9838

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.14

medicaidRatio 0.1578

uncompensatedCareAmount 722.85

vbpAdjustment 0.9929911526

hhrAdjustment 0.9838

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.14

medicaidRatio 0.1578

uncompensatedCareAmount 770.33

vbpAdjustment 0.9939958917

hhrAdjustment 0.9815

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.174

medicaidRatio 0.1578

uncompensatedCareAmount 770.33

vbpAdjustment 0.9939958917

hhrAdjustment 0.9815

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.174

medicaidRatio 0.1673

uncompensatedCareAmount 770.33

vbpAdjustment 0.9939958917

hhrAdjustment 0.9815

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.174

medicaidRatio 0.1673

uncompensatedCareAmount 770.33

vbpAdjustment 0.9939958917

hhrAdjustment 0.9815

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.174

medicaidRatio 0.1673

uncompensatedCareAmount 706.79

vbpAdjustment 0.9976582669

hhrAdjustment 0.986

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.172

medicaidRatio 0.1673

uncompensatedCareAmount 706.79

vbpAdjustment 0.9976582669

hhrAdjustment 0.986

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.172

medicaidRatio 0.1673

uncompensatedCareAmount 706.79

vbpAdjustment 0.9976582669

hhrAdjustment 0.986

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.172

medicaidRatio 0.1673

uncompensatedCareAmount 706.79

vbpAdjustment 0.9976582669

hhrAdjustment 0.986

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.172

medicaidRatio 0.1673

uncompensatedCareAmount 561.21

vbpAdjustment 0.9944544259

hhrAdjustment 0.9911

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.18

medicaidRatio 0.1628

uncompensatedCareAmount 561.21

vbpAdjustment 0.9944544259

hhrAdjustment 0.9911

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.18

medicaidRatio 0.1561

uncompensatedCareAmount 561.21

vbpAdjustment 0.9944544259

hhrAdjustment 0.9911

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.18

medicaidRatio 0.1561

uncompensatedCareAmount 561.21

vbpAdjustment 0.9944544259

hhrAdjustment 0.9911

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.18

medicaidRatio 0.1561

uncompensatedCareAmount 561.21

vbpAdjustment 0.9944544259

hhrAdjustment 0.9911

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.18

medicaidRatio 0.1584

uncompensatedCareAmount 561.21

vbpAdjustment 0.9944544259

hhrAdjustment 0.9911

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.18

medicaidRatio 0.1584

uncompensatedCareAmount 558.56

vbpAdjustment 0.996688441

hhrAdjustment 0.9951

censusDivision 5

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.192

medicaidRatio 0.1709

uncompensatedCareAmount 558.56

vbpAdjustment 0.996688441

hhrAdjustment 0.9951

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.139

deviceCostToChargeRatio 0.23

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.139

deviceCostToChargeRatio 0.23

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.138

deviceCostToChargeRatio 0.2

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.138

deviceCostToChargeRatio 0.2

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.138

deviceCostToChargeRatio 0.2

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.129

deviceCostToChargeRatio 0.173

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.129

deviceCostToChargeRatio 0.173

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.13

deviceCostToChargeRatio 0.193

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.13

deviceCostToChargeRatio 0.193

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.137

deviceCostToChargeRatio 0.181

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.137

deviceCostToChargeRatio 0.181

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.137

deviceCostToChargeRatio 0.181

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.113

deviceCostToChargeRatio 0.185

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.113

deviceCostToChargeRatio 0.185

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.135

deviceCostToChargeRatio 0.189

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.135

deviceCostToChargeRatio 0.189

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.135

deviceCostToChargeRatio 0.189

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.124

deviceCostToChargeRatio 0.186

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.124

deviceCostToChargeRatio 0.186

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.134

deviceCostToChargeRatio 0.212

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 33860

providerType 07

operatingCostToChargeRatio 0.134

deviceCostToChargeRatio 0.212

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

JACKSON HOSPITAL & CLINIC INC

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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