Organization · Type 2 NPI

Sonny Montgomery V A M Edical Center

Chronic Disease Hospital · Jackson, MS

NPI number 1013014695 Active

Practice location

1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116

Call (601) 362-4471 Map

Mailing address

1973 Houston Rd
Bolton, MS 39041-9387

Specialties and licenses

TaxonomyCodeLicense
Chronic Disease Hospital Primary 281P00000XR725005 (MS)

Chronic Disease Hospital: (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…

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About NPI 1013014695

Sonny Montgomery V A M Edical Center's National Provider Identifier is 1013014695, issued on Sep 17, 2006. The primary taxonomy on file is Chronic Disease Hospital (281P00000X), and the practice location is in Jackson, MS. The record was last updated on Aug 22, 2020.