Dwight Jackson in Flatwoods - Community Health Worker
Dwight Jackson - NPI 1013055896
Dwight Jackson is a Community Health Worker in Flatwoods, Kentucky. Dwight Jackson practices all healthcare services and medical treatments related to Community Health Worker. The NPI Number for Dwight Jackson is 1013055896. The last update date is 2020-12-11.
Dwight Jackson's current location address is 925 Daniels Dr, Flatwoods, Kentucky. You can contact this provider via phone number 6068361886. The mailing address for Dwight Jackson is 925 Daniels Dr, Flatwoods, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dwight Jackson |
|---|---|
| Address | 925 Daniels Dr, Flatwoods, Kentucky |
| Phone Number | 6068361886 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1013055896 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2020-12-11 |
Provider Mailing Address Detail
| Address | 925 Daniels Dr |
|---|---|
| City | Flatwoods |
| State | Kentucky (KY) |
| Post Code | 4113916050 |
| Phone Number | 6068361886 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Health Worker |
|---|---|
| Taxonomy | 172V00000X |
|
Definition: Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status a |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30610026 | KY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Dwight Jackson?
The Dwight Jackson has been issued the NPI (National Provider Identifier) 1013055896 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Dwight Jackson is physically located?
The Dwight Jackson is physically situated at the following address: 925 Daniels Dr, Flatwoods, KY, 4113916050.
What is Dwight Jackson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dwight Jackson's specialized field of practice is Community Health Worker, and the corresponding taxonomy code that categorizes this area of specialization is 172V00000X.
On what date did Dwight Jackson receive its 1013055896 assignment from the Centers for Medicare & Medicaid Services?
The Dwight Jackson was assigned its 1013055896 on 2007-02-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Dwight Jackson most recently updated or revised?
The information pertaining to Dwight Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2020-12-11.
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