Jackson Family Clinic, Inc

LBN: Jackson Family Clinic, Inc
Jackson Family Clinic, Inc is an health care organization with primary practice located at 545 Broadridge , Jackson MO 63755. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Jackson Family Clinic, Inc can be contacted via phone (573) 243-8408, or through Asher, Kennett D via phone (573) 243-8408.

Contact Information

Primary practice address
545 Broadridge Jackson MO 63755
Phone: (573) 243-8408
Fax: (573) 243-0445
Website:
Map and Directions
Authorized official contact:
Name: Asher, Kennett D Doctor of Osteopathy (DO)
Phone: (573) 243-8408

Health care specialties

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

Profile Details

NPI number 1205950961
LBN Legal business name Jackson Family Clinic, Inc
DBA Doing business as
Authorized official Asher, Kennett D Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2007
Last updated Apr 29th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205950961 NPPES
Missouri Other CO9028 RR MEDICARE
Missouri MEDICAID 505190207 RR MEDICARE

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