Mooreco in Jackson - Preferred Provider Organization
Mooreco - NPI 1942392717
Mooreco is a Preferred Provider Organization in Jackson, Mississippi. Mooreco practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Mooreco is 1942392717. The last update date is 2020-08-22.
Mooreco's current location address is 1700 Terry Rd, Jackson, Mississippi. You can contact this provider via phone number 6013552438 and fax number 6019480418. The mailing address for Mooreco is 1700 Terry Rd, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mooreco |
|---|---|
| Address | 1700 Terry Rd, Jackson, Mississippi |
| Phone Number | 6013552438 |
| Fax Number | 6019480418 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | RPH |
|---|---|
| Authorized Official Name | Perry M Jerry |
| Telephone Number | 6013552438 |
NPI Number Detail
| NPI Number | 1942392717 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1700 Terry Rd |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392043907 |
| Phone Number | 6013552438 |
| Fax Number | 6019480418 |
Provider's Primary Taxonomy Detail
| Speciality | Preferred Provider Organization |
|---|---|
| Taxonomy | 305R00000X |
| Licence No | 01086/01.1 |
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Definition: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33278 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mooreco?
The Mooreco has been issued the NPI (National Provider Identifier) 1942392717 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 physical location address of Mooreco?
The Mooreco is physically situated at 1700 Terry Rd, in the city of Jackson, state of MS, with the postal code 392043907.
What is Mooreco's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mooreco's specialized field of practice is Preferred Provider Organization, and the corresponding taxonomy code that categorizes this area of specialization is 305R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1942392717 to Mooreco?
The Mooreco received its 1942392717 assignment from the Centers for Medicare & Medicaid Services on 2006-09-29.
As of what date were the details pertaining to Mooreco last refreshed?
The information related to the Mooreco, including its address, specialty, and other relevant details, was last updated on 2020-08-22.