Jackson Public Schools Poindexter Clinic

LBN: Jackson Public Schools
Jackson Public Schools Poindexter Clinic is an health care organization with primary practice located at 618 S President St , Jackson MS 39201-5601. The organization recently has only one registered license in Ambulatory Health Care Facilities / Student Health, which is considered as the primary health care specialty. Jackson Public Schools can be contacted via phone (601) 960-8705, or through Crocker, Tammy D. via phone (601) 209-4456.

Contact Information

Primary practice address
618 S President St Jackson MS 39201-5601
Phone: (601) 960-8705
Fax: (601) 960-8704
Website:
Map and Directions
Authorized official contact:
Name: Crocker, Tammy D. Registered Nurse (RN)
Phone: (601) 209-4456

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Student Health 261QS1000X

Profile Details

NPI number 1942472899
LBN Legal business name Jackson Public Schools
DBA Doing business as Jackson Public Schools Poindexter Clinic
Authorized official Crocker, Tammy D. Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2008
Last updated Apr 1st, 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 1942472899 NPPES
Mississippi MEDICAID 05154701

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