Central Jackson Medical Clinic, Inc

LBN: Central Jackson Medical Clinic, Inc
Central Jackson Medical Clinic, Inc is an health care organization with primary practice located at 514 C E Woodrow Wilson , Jackson MS 39216-4538. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Central Jackson Medical Clinic, Inc can be contacted via phone (601) 981-7198, or through Barry, Iphogenier via phone (601) 981-7198.

Contact Information

Primary practice address
514 C E Woodrow Wilson Jackson MS 39216-4538
Phone: (601) 981-7198
Fax: (601) 981-6616
Website:
Map and Directions
Authorized official contact:
Name: Barry, Iphogenier
Phone: (601) 981-7198

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R733308 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R718637 Mississippi

Profile Details

NPI number 1285967943
LBN Legal business name Central Jackson Medical Clinic, Inc
DBA Doing business as
Authorized official Barry, Iphogenier
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2009
Last updated Sep 14th, 2009 - about 16 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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