Jackson Oncology Associates, Pllc

LBN: Jackson Oncology Associates, Pllc
Jackson Oncology Associates, Pllc is an health care organization with primary practice located at 2200 Highway 61 N Ste 3300 , Vicksburg MS 39183-8246. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Jackson Oncology Associates, Pllc can be contacted via phone (601) 638-3447, or through Ward, Kim via phone (601) 974-5513.

Contact Information

Primary practice address
2200 Highway 61 N Ste 3300 Vicksburg MS 39183-8246
Fax: (601) 630-9227
Website:
Authorized official contact:
Name: Ward, Kim

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X

Profile Details

NPI number 1023147204
LBN Legal business name Jackson Oncology Associates, Pllc
DBA Doing business as
Authorized official Ward, Kim
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 5th, 2007
Last updated Nov 9th, 2021 - 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 1023147204 NPPES
Mississippi MEDICAID 03330910

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