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St. Dominic-Jackson Memorial Hospital

Institutional Pharmacy in Jackson, MS · enumerated 2006 · authorized official Samuel Scott, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003979386

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Registry record

Entity type Organization (Type 2)
Legal business name St. Dominic-Jackson Memorial Hospital
Practice address 969 Lakeland Dr, Jackson, MS, 39216
Phone (601) 200-6000
Fax (601) 321-5170
Enumeration date Dec 18, 2006
Last updated in NPPES May 13, 2024

Taxonomy & classification

3336I0012X Institutional Pharmacy Suppliers · License 0101003.1 (MS) Primary

Authorized official

Name Samuel Scott
Title Cfo
Phone (601) 200-6570

Other identifiers

Identifier Type State Issuer
20034 Other MS BLUE CROSS
000020034 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is St. Dominic-Jackson Memorial Hospital located?
The practice location on file with NPPES is in Jackson, MS.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-05-13. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-05-13.