JACKSON COMPLEX HEALTH CENTER – NPI #1437258043
Clinic/Center

JACKSON COMPLEX HEALTH CENTER is an AHC clinic located in JACKSON, LA. NPPES has assigned the NPI number 1437258043 to JACKSON COMPLEX HEALTH CENTER on September 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JACKSON COMPLEX HEALTH CENTER” is a dba name, the actual legal business name for this organization is PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 4 years ago on Apr 12, 2022. 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 JACKSON COMPLEX HEALTH CENTER below.

NPI Profile for
PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC.

NPI Number
1437258043
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC.
Doing Business As (dba): JACKSON COMPLEX HEALTH CENTER
Primary location
3619 HIGHWAY 10
JACKSON, LA 70748
Phone: (225) 683-1360 Fax: (225) 634-0005
Mailing address
P.O. BOX 395
CLINTON, LA 70722-0395
Phone: (225) 683-5292 Fax: (225) 683-1310
Organization Subpart
Yes - JACKSON COMPLEX HEALTH CENTER is subpart of another organization.
Authorized Official
CHRISTI HUNT
CEO
Phone: (225) 683-5292
Updated
Certification Date
Mar 29, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JACKSON COMPLEX HEALTH 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.

DescriptionIssuerStateIdentifier
MEDICAIDLA1448389
Taxonomy Code(s)

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
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
207Q00000X
- Family Medicine		 LA

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.