Jackson Health Services in Detroit - Clinic/center
Jackson Health Services - NPI 1205090354
Jackson Health Services is a Clinic/center in Detroit, Michigan. Jackson Health Services practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Jackson Health Services is 1205090354. The last update date is 2008-07-17.
Jackson Health Services's current location address is 3800 Woodward Ave, Detroit, Michigan. You can contact this provider via phone number 3138318805 and fax number 3138328206. The mailing address for Jackson Health Services is 3800 Woodward Ave, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Health Services |
|---|---|
| Address | 3800 Woodward Ave, Detroit, Michigan |
| Phone Number | 3138318805 |
| Fax Number | 3138328206 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Jackson-Hammond L. Mary |
| Credentials | M.D. |
| Telephone Number | 3138318805 |
NPI Number Detail
| NPI Number | 1205090354 |
|---|---|
| Provider Enumeration Date | 2008-07-17 |
| Last Updated Date | 2008-07-17 |
Provider Mailing Address Detail
| Address | 3800 Woodward Ave |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482012061 |
| Phone Number | 3138318805 |
| Fax Number | 3138328206 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 4301046737 |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4180604 | MI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jackson Health Services?
The Jackson Health Services has been issued the NPI (National Provider Identifier) 1205090354 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Jackson Health Services is geographically located?
The Jackson Health Services is physically situated at the following location: 3800 Woodward Ave, Detroit, MI, 482012061.
What is the Jackson Health Services's area of specialization and corresponding taxonomy classification?
The Jackson Health Services's specialty field is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their specialties.
On what date did Jackson Health Services receive its 1205090354 assignment from the Centers for Medicare & Medicaid Services?
The Jackson Health Services was assigned its 1205090354 on 2008-07-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jackson Health Services, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jackson Health Services, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-17.