EAST JACKSON CENTER – NPI #1265618904
Clinic/Center
EAST JACKSON CENTER is an AHC clinic located in JACKSON, MI. NPPES has assigned the NPI number 1265618904 to EAST JACKSON CENTER on January 11, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EAST JACKSON CENTER” is a dba name, the actual legal business name for this organization is JACKSON GASTROENTEROLOGY CENTER, LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical
The NPI profile was previously updated about 18 years ago on Oct 20, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAST JACKSON CENTER below.
NPI Profile for
JACKSON GASTROENTEROLOGY CENTER, LLC
(more than 18 years ago)
JACKSON, MI 49202 Phone: (517) 990-0602 Fax:
MEMBER
Phone: (615) 425-0818
Identifiers for EAST JACKSON CENTER
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | FACILITY NUMBER | MI | 38-6814 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QA1903X - Clinic/Center / Ambulatory Surgical (Primary) |
MI |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.