Jackson Public Schools Timberlawn Clinic

LBN: Jackson Public Schools Timberlawn Clinic
Jackson Public Schools Timberlawn Clinic is an health care organization with primary practice located at 1980 N Siwell Rd , Jackson MS 39209-9208. 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 Timberlawn Clinic can be contacted via phone (601) 922-3671, or through Watkins, Earl via phone (601) 960-8700.

Contact Information

Primary practice address
1980 N Siwell Rd Jackson MS 39209-9208
Phone: (601) 922-3671
Fax: (601) 922-3668
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 08570278 Mississippi

Profile Details

NPI number 1295870483
LBN Legal business name Jackson Public Schools Timberlawn Clinic
DBA Doing business as
Authorized official Watkins, Earl PH.D
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 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 1295870483 NPPES
Mississippi MEDICAID 08570278

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