MID JACKSON FAMILY HEALTH CLINIC – NPI #1043503832
Clinic/Center

MID JACKSON FAMILY HEALTH CLINIC is an AHC clinic located in JACKSON, MS. NPPES has assigned the NPI number 1043503832 to MID JACKSON FAMILY HEALTH CLINIC on May 26, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

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 MID JACKSON FAMILY HEALTH CLINIC below.

NPI Profile for
MID JACKSON FAMILY HEALTH CLINIC

NPI Number
1043503832
Enumeration Date

(more than 15 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
MID JACKSON FAMILY HEALTH CLINIC
Primary location
514C WOODROW WILSON DR
JACKSON, MS 39216
Phone: (601) 981-7198 Fax:
Mailing address
514C EAST WOODROW WILSON AVE
C
JACKSON, MS 39216
Phone: (601) 981-7198 Fax:
Organization Subpart
No
Authorized Official
GLORIA AREGHAN
PRESIDENT
Phone: (601) 981-7198
Updated
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
261QP2300X
- Clinic/Center / Primary Care (Primary)		 MS R831972

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.