Jackson Public Schools Clausell Clinic

LBN: Jackson Public Schools Clausell Clinic
Jackson Public Schools Clausell Clinic is an health care organization with primary practice located at 618 S President St , Jackson MS 39201-5601. The organization recently has 2 registered licenses in different health care specialties including Nursing Service Providers / School, Ambulatory Health Care Facilities / Student Health. Ambulatory Health Care Facilities / Student Health is the primary health care specialty. Jackson Public Schools Clausell Clinic can be contacted via phone (601) 960-8705, or through Crocker, Tammy Darlene via phone (601) 209-4456.

Contact Information

Primary practice address
618 S President St Jackson MS 39201-5601
Fax:
Website:
Authorized official contact:
Name: Crocker, Tammy Darlene Registered Nurse (RN)

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X R557579 Mississippi
Ambulatory Health Care Facilities / Student Health 261QS1000X

Profile Details

NPI number 1659527414
LBN Legal business name Jackson Public Schools Clausell Clinic
DBA Doing business as
Authorized official Crocker, Tammy Darlene Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2008
Last updated Aug 13th, 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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