Centerwell Senior Primary Care-Jackson East

LBN: Centerwell Senior Primary Care Ms Pc
Centerwell Senior Primary Care-Jackson East is an health care organization with primary practice located at 1220 E Northside Dr Ste 220 , Jackson MS 39211-5503. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Centerwell Senior Primary Care Ms Pc can be contacted via phone (601) 298-4173, or through Martinez, Angie via phone (407) 447-7120.

Contact Information

Primary practice address
1220 E Northside Dr Ste 220 Jackson MS 39211-5503
Phone: (601) 298-4173
Fax: (877) 866-2356
Website:
Map and Directions
Authorized official contact:
Name: Martinez, Angie
Phone: (407) 447-7120

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1710693619
LBN Legal business name Centerwell Senior Primary Care Ms Pc
DBA Doing business as Centerwell Senior Primary Care-Jackson East
Authorized official Martinez, Angie
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 25th, 2023
Last updated Jul 3rd, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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