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 Ste A , Jackson MO 63755-2474. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Jackson Primary Care Llc can be contacted via phone (573) 204-1400, or through Mayberry, Joan L via phone (573) 204-1400.

Contact Information

Primary practice address
2685 E Main St Ste A Jackson MO 63755-2474
Phone: (573) 204-1400
Fax: (573) 204-1480
Website:
Map and Directions
Authorized official contact:
Name: Mayberry, Joan L
Phone: (573) 204-1400

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Rural Health 261QR1300X 106442 Missouri

Profile Details

NPI number 1790213676
LBN Legal business name Jackson Primary Care Llc
DBA Doing business as
Authorized official Mayberry, Joan L
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2017
Last updated May 25th, 2017 - about 7 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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