2 associated locations — data as of October 5, 2026
Rural referral center · MONTGOMERY, AL
JACKSON CLINIC VASCULAR SURGERY - Vascular Surgery
Filed under JACKSON HOSPITAL AND CLINIC INC, which files the Medicare cost report for this system.
Taking partNoTermination date filedSeptember 7, 2022Last certifiedSeptember 1, 2022
- 0Registered locations
- 2Associated locations
- 0Contract pharmacies
- 0With no end date
- January 1, 2018In 340B since
Across JACKSON HOSPITAL AND CLINIC INC, 105 contract pharmacies are on file. This location is filed at 1758 PARK PLACE, MONTGOMERY AL 36106.
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.
Community benefit, as filed
This record is a location registered under JACKSON HOSPITAL AND CLINIC INC. Community benefit is on that record.
Executive and director compensation, as filed
This record is a location registered under JACKSON HOSPITAL AND CLINIC INC. Executive and director compensation is on that record.
Changes recorded
Nothing on this record has moved since it was first read here on September 6, 2026.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- January 1, 2018
- Termination date
- September 7, 2022
- Termination reason
- Change of hospital entity type
- Certification date
- September 1, 2022
- Record last edited
- September 7, 2022
Identifiers
- 340B ID
- RRC010024-04
- Entity type as filed
- RRC
- CMS certification number
- 010024
- NPI
- 1043262488 (AL)
- Rural
- Yes
1758 PARK PLACE, MONTGOMERY AL 36106
Associated locations
| JACKSON CLINIC VASCULAR SURGERY - Vascular Surgery | 1758 PARK PLACE | MONTGOMERY AL 36106 |
| Jackson Hosptial and Clinic | 1725 Pine St | Montgomery AL 36106 |
How this page is built
- What is counted
- One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
- As of
- October 5, 2026 — the date of the register file this record was last listed in.
- Contract-pharmacy arrangements
- Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.
Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261005_103256.xlsx, stamped by its publisher October 5, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261005_103256.xlsx, read October 5, 2026.
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