Jackson Primary Care Llc

LBN: Jackson Primary Care Llc
Jackson Primary Care Llc is an health care organization with primary practice located at 2685 E Main St Suite A Ste A, Jackson MO 63755. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Ambulatory Health Care Facilities / Rural Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Jackson Primary Care Llc can be contacted via phone (573) 204-1400, or through Siemer, Deanna M via phone (573) 204-1400.

Contact Information

Primary practice address
2685 E Main St Suite A Ste A Jackson MO 63755
Fax: (573) 204-1480
Website:
Authorized official contact:
Name: Siemer, Deanna M Doctor of Medicine (MD)

Profile Details

NPI number 1619961380
LBN Legal business name Jackson Primary Care Llc
DBA Doing business as
Authorized official Siemer, Deanna M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2005
Last updated Oct 26th, 2010 - about 14 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 1619961380 NPPES
Missouri Other 132588 BCBS
Missouri MEDICAID 509303004 BCBS

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