Family Healthcare Of Jackson

LBN: Family Healthcare Of Jackson
Family Healthcare Of Jackson is an health care organization with primary practice located at 2815 N Highland Ave Suite C, Jackson TN 38305-1729. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Family Healthcare Of Jackson can be contacted via phone (731) 660-6055, or through Stewart, Earl L via phone (731) 660-6055.

Contact Information

Primary practice address
2815 N Highland Ave Suite C Jackson TN 38305-1729
Phone: (731) 660-6055
Fax: (731) 660-6039
Website:
Map and Directions
Authorized official contact:
Name: Stewart, Earl L Doctor of Medicine (MD)
Phone: (731) 660-6055

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30977 Tennessee

Profile Details

NPI number 1407948961
LBN Legal business name Family Healthcare Of Jackson
DBA Doing business as
Authorized official Stewart, Earl L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2006
Last updated Aug 22nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407948961 NPPES
Tennessee MEDICAID 3832495

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