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Va Jackson — NPI 1265508287, Jackson, MS | NPI Central

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NPI 1265508287

OrganizationActive

Va Jackson

NPI 1265508287 · Military Hospital · Jackson, MS

Provider details

NPI number: 1265508287
Entity type: Organization
Primary specialty: Military HospitalHospitals
Organization subpart: No
Authorized official: William Tidwell, Radiology(601) 898-4777

Specialties & taxonomies

Military HospitalPrimary286500000X
Hospitals

Practice location

1500 E Woodrow Wilson Ave

Jackson, MS 39216-5116

Phone: (601) 364-1359

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

158 French Br

Madison, MS 39110-8173

Registry dates

Enumerated: 2006-11-28
Last updated: 2007-07-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.