NPI 1265508287

VA Jackson

Organisation Military Hospital Jackson, MS

Practice location

Address: 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116
Phone: (601) 364-1359
Mailing address: 158 French Br, Madison, MS 39110-8173

Authorised official

Name: William Tidwell
Title: Radiology
Phone: (601) 898-4777

Registered specialties

Military Hospital Primary

Hospitals Taxonomy 286500000X

Other Military Hospital providers in Mississippi →

Registry record

NPI: 1265508287
Entity type: Organization
NPI issued: 28 Nov 2006
Record last updated: 10 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.