Jackson Heart Clinic. P.A. in Jackson - Cardiovascular Disease
Jackson Heart Clinic. P.A. - NPI 1659318558
Jackson Heart Clinic. P.A. is a Cardiovascular Disease in Jackson, Mississippi. Jackson Heart Clinic. P.A. practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Jackson Heart Clinic. P.A. is 1659318558. The last update date is 2014-04-10.
Jackson Heart Clinic. P.A.'s current location address is 970 Lakeland Dr, Jackson, Mississippi. You can contact this provider via phone number 6019827850 and fax number 6013266278. The mailing address for Jackson Heart Clinic. P.A. is 970 Lakeland Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Heart Clinic. P.A. |
|---|---|
| Address | 970 Lakeland Dr, Jackson, Mississippi |
| Phone Number | 6019827850 |
| Fax Number | 6013266278 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Egger S Stephanie |
| Telephone Number | 6019827850 |
NPI Number Detail
| NPI Number | 1659318558 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2014-04-10 |
Provider Mailing Address Detail
| Address | 970 Lakeland Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164640 |
| Phone Number | 6019827850 |
| Fax Number | 6013266278 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9011314 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jackson Heart Clinic. P.A. by the Centers for Medicare & Medicaid Services?
The Jackson Heart Clinic. P.A. has been assigned the NPI (National Provider Identifier) 1659318558 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Jackson Heart Clinic. P.A.'s physical address?
The Jackson Heart Clinic. P.A. is physically located at 970 Lakeland Dr, in the city of Jackson, MS, with the postal code 392164640.
What is the Jackson Heart Clinic. P.A.'s specialty and taxonomy code?
The Jackson Heart Clinic. P.A.'s specialty is Cardiovascular Disease, and the corresponding taxonomy code is 207Rc0000X.
On what date did Jackson Heart Clinic. P.A. receive its 1659318558 assignment from the Centers for Medicare & Medicaid Services?
The Jackson Heart Clinic. P.A. was assigned its 1659318558 on 2006-05-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jackson Heart Clinic. P.A. most recently updated?
The details pertaining to the Jackson Heart Clinic. P.A., including its address, specialty, and other relevant information, were last refreshed on 2014-04-10.
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