Jackson Rehab And Wellness Center in Jackson - Cardiopulmonary
Jackson Rehab And Wellness Center - NPI 1285792010
Jackson Rehab And Wellness Center is a Cardiopulmonary in Jackson, Mississippi. Jackson Rehab And Wellness Center practices all healthcare services and medical treatments related to Cardiopulmonary. The NPI Number for Jackson Rehab And Wellness Center is 1285792010. The last update date is 2022-07-21.
Jackson Rehab And Wellness Center's current location address is 5380 I-55 N, Jackson, Mississippi. You can contact this provider via phone number 6013168800 and fax number 6018995198. The mailing address for Jackson Rehab And Wellness Center is 5380 I-55 N, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Rehab And Wellness Center |
|---|---|
| Address | 5380 I-55 N, Jackson, Mississippi |
| Phone Number | 6013168800 |
| Fax Number | 6018995198 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Kirtley Michael |
| Telephone Number | 6013168800 |
NPI Number Detail
| NPI Number | 1285792010 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 5380 I-55 N |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 39211 |
| Phone Number | 6013168800 |
| Fax Number | 6018995198 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiopulmonary |
|---|---|
| Taxonomy | 2251C2600X |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Cardiovascular & Pulmonary Physical Therapy, who has demonstrated specialized knowledge and skill in cardiovascular and pulmonary anatomy |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C02912 | MS | MEDICARE PART B |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jackson Rehab And Wellness Center?
The Jackson Rehab And Wellness Center has been issued the NPI (National Provider Identifier) 1285792010 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Jackson Rehab And Wellness Center's physical address?
The Jackson Rehab And Wellness Center is physically located at 5380 I-55 N, in the city of Jackson, MS, with the postal code 39211.
What is Jackson Rehab And Wellness Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jackson Rehab And Wellness Center's specialized field of practice is Cardiopulmonary, and the corresponding taxonomy code that categorizes this area of specialization is 2251C2600X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285792010 to Jackson Rehab And Wellness Center?
The Centers for Medicare & Medicaid Services originally issued the 1285792010 to Jackson Rehab And Wellness Center on 2006-12-05.
When was the information related to Jackson Rehab And Wellness Center most recently updated or refreshed?
The details pertaining to the Jackson Rehab And Wellness Center, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.