Jackson Heart Clinic. P.A.

LBN: Jackson Heart Clinic. P.A.
Jackson Heart Clinic. P.A. is an health care organization with primary practice located at 970 Lakeland Dr Suite 61, Jackson MS 39216-4640. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Jackson Heart Clinic. P.A. can be contacted via phone (601) 982-7850, or through Egger, Stephanie S via phone (601) 982-7850.

Contact Information

Primary practice address
970 Lakeland Dr Suite 61 Jackson MS 39216-4640
Phone: (601) 982-7850
Fax: (601) 326-6278
Website:
Map and Directions
Authorized official contact:
Name: Egger, Stephanie S
Phone: (601) 982-7850

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1659318558
LBN Legal business name Jackson Heart Clinic. P.A.
DBA Doing business as
Authorized official Egger, Stephanie S
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated Apr 10th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659318558 NPPES
Mississippi MEDICAID 09011314

Popular Providers