Jackson Rural Health Clinic P A in Rolling Fork - Family Medicine
Jackson Rural Health Clinic P A - NPI 1316975287
Jackson Rural Health Clinic P A is a Family Medicine in Rolling Fork, Mississippi. Jackson Rural Health Clinic P A practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jackson Rural Health Clinic P A is 1316975287. The last update date is 2012-12-04.
Jackson Rural Health Clinic P A's current location address is Po Box 520, Rolling Fork, Mississippi. You can contact this provider via phone number 6628734361 and fax number 6628732921. The mailing address for Jackson Rural Health Clinic P A is Po Box 520, Rolling Fork, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Rural Health Clinic P A |
|---|---|
| Address | Po Box 520, Rolling Fork, Mississippi |
| Phone Number | 6628734361 |
| Fax Number | 6628732921 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jackson Danny |
| Credentials | D.O. |
| Telephone Number | 6628734361 |
NPI Number Detail
| NPI Number | 1316975287 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2012-12-04 |
Provider Mailing Address Detail
| Address | Po Box 520 |
|---|---|
| City | Rolling Fork |
| State | Mississippi (MS) |
| Post Code | 391590520 |
| Phone Number | 6628734361 |
| Fax Number | 6628732921 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 253949 |
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Definition: 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 i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9014136 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jackson Rural Health Clinic P A by the Centers for Medicare & Medicaid Services?
The Jackson Rural Health Clinic P A has been assigned the NPI (National Provider Identifier) 1316975287. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jackson Rural Health Clinic P A is physically located?
The Jackson Rural Health Clinic P A is physically situated at the following address: Po Box 520, Rolling Fork, MS, 391590520.
What is Jackson Rural Health Clinic P A's area of expertise and its corresponding taxonomy classification?
The Jackson Rural Health Clinic P A's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
When was the Jackson Rural Health Clinic P A's 1316975287 issued?
The Jackson Rural Health Clinic P A's 1316975287 was issued on 2006-06-29.
As of what date was the information regarding Jackson Rural Health Clinic P A, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jackson Rural Health Clinic P A, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-12-04.