Jackson Public Schools Northwest Clinic

LBN: Jackson Public Schools Northwest Clinic
Jackson Public Schools Northwest Clinic is an health care organization with primary practice located at 7020 Hwy 49 N , Jackson MS 39213. The organization recently has only one registered license in Nursing Service Providers / School, which is considered as the primary health care specialty. Jackson Public Schools Northwest Clinic can be contacted via phone (601) 713-1776, or through Watkins, Earl via phone (601) 960-8700.

Contact Information

Primary practice address
7020 Hwy 49 N Jackson MS 39213
Phone: (601) 713-1776
Fax: (601) 713-0579
Website:
Map and Directions
Authorized official contact:
Name: Watkins, Earl PH.D
Phone: (601) 960-8700

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 08671872 Mississippi

Profile Details

NPI number 1609901503
LBN Legal business name Jackson Public Schools Northwest Clinic
DBA Doing business as
Authorized official Watkins, Earl PH.D
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Aug 22nd, 2020 - 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 1609901503 NPPES
Mississippi MEDICAID 08671872

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