Rural referral center · AL
Jackson Clinic Family Medicine - Family Medicine
Filed under JACKSON HOSPITAL AND CLINIC INC, which files the Medicare cost report for this system.
Taking partNoTermination date filed7 September 2022Last certified1 September 2022
- 0Registered locations
- 2Associated locations
- 0Contract pharmacies
- 0With no end date
- 1 January 2018In 340B since
Finances, as filed
This record is a location registered under JACKSON HOSPITAL AND CLINIC INC, which files the Medicare cost report. The finances are on that record.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
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Cite this page
Velarion Records, “Jackson Clinic Family Medicine - Family Medicine”, citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260909_071013.xlsx, stamped by its publisher 2026-09-09. https://velarionrecords.com/340b/RRC010024-08. Accessed 9 September 2026.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- 1 January 2018
- Termination date
- 7 September 2022
- Termination reason
- Change of hospital entity type
- Certification date
- 1 September 2022
- Record last edited
- 7 September 2022
Identifiers
- 340B ID
- RRC010024-08
- Entity type as filed
- RRC
- CMS certification number
- 010024
- NPI
- 1043262488 (AL)
- Rural
- Yes
1801 Pine St, Montgomery AL 36106
Associated locations
| Jackson Clinic Family Medicine - Family Medicine | 1801 Pine St | Montgomery AL 36106 |
| Jackson Hosptial and Clinic | 1725 Pine St | Montgomery AL 36106 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260909_071013.xlsx, stamped by its publisher 9 September 2026. This record has been read here since 6 September 2026.