Jackson Recovery Centers, Inc.
LBN: Jackson Recovery Centers, Inc.
Jackson Recovery Centers, Inc. is an health care organization with primary practice located at 800 5Th St Suite 200, Sioux City IA 51101-1317. The organization recently has 2 registered licenses in different health care specialties including Agencies / Voluntary or Charitable, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty.
Jackson Recovery Centers, Inc. can be contacted via phone (712) 234-2300, or through Enockson, Julie via phone (712) 234-2302.
Contact Information
Primary practice address
800 5Th St Suite 200
Sioux City IA 51101-1317
Phone: (712) 234-2300
Fax: (712) 234-2398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Voluntary or Charitable | 251V00000X | Iowa | |
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X |
Profile Details
| NPI number | 1811994973 |
|---|---|
| LBN Legal business name | Jackson Recovery Centers, Inc. |
| DBA Doing business as | |
| Authorized official | Enockson, Julie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811994973 | NPPES |
| Iowa | MEDICAID | 00-55012 | |
| Iowa | Other | 68223 |
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