JACKSON PRIMARY CARE LLC – NPI #1619961380
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

JACKSON PRIMARY CARE LLC is a provider located in JACKSON, MO. NPPES has assigned the NPI number 1619961380 to JACKSON PRIMARY CARE LLC on September 08, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 16 years ago on Oct 26, 2010. 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 PRIMARY CARE LLC below.

NPI Profile for
JACKSON PRIMARY CARE LLC

NPI Number
1619961380
Enumeration Date

(about 21 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
JACKSON PRIMARY CARE LLC
Primary location
2685 E MAIN ST SUITE A
STE A
JACKSON, MO 63755
Phone: (573) 204-1400 Fax: (573) 204-1480
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DEANNA SIEMER
OWNER
Phone: (573) 204-1400
Updated
Identifiers

Identifiers for JACKSON PRIMARY CARE LLC

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
OTHERBCBSMO132588
MEDICAIDMO509303004
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
207Q00000X
- Family Medicine (Primary)
261QR1300X
- Clinic/Center / Rural Health
207V00000X
- Obstetrics & Gynecology

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.