Jackson Va Medical Center in Jackson - Substance Abuse Rehabilitation Facility
Jackson Va Medical Center - NPI 1285716928
Jackson Va Medical Center is a Substance Abuse Rehabilitation Facility in Jackson, Mississippi. Jackson Va Medical Center practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Jackson Va Medical Center is 1285716928. The last update date is 2020-08-22.
Jackson Va Medical Center's current location address is 1500 E Woodrow Wilson Ave, Jackson, Mississippi. You can contact this provider via phone number 6013624471 and fax number 6013641298. The mailing address for Jackson Va Medical Center is 1500 E Woodrow Wilson Ave, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Va Medical Center |
|---|---|
| Address | 1500 E Woodrow Wilson Ave, Jackson, Mississippi |
| Phone Number | 6013624471 |
| Fax Number | 6013641298 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CENTER DIR |
|---|---|
| Authorized Official Name | Baltz J Richard |
| Credentials | D.O |
| Telephone Number | 6013641359 |
NPI Number Detail
| NPI Number | 1285716928 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1500 E Woodrow Wilson Ave |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392165116 |
| Phone Number | 6013624471 |
| Fax Number | 6013641298 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
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Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
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What is the unique 10-digit identifier code assigned to Jackson Va Medical Center by the Centers for Medicare & Medicaid Services?
The Jackson Va Medical Center has been issued the NPI (National Provider Identifier) 1285716928 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jackson Va Medical Center?
The Jackson Va Medical Center is situated at 1500 E Woodrow Wilson Ave, in the city of Jackson, state of MS, with the zip code 392165116.
What is Jackson Va Medical Center's area of expertise and its corresponding taxonomy classification?
The Jackson Va Medical Center's field of specialization is Substance Abuse Rehabilitation Facility, and it falls under the taxonomy code 324500000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1285716928 to Jackson Va Medical Center?
The Centers for Medicare & Medicaid Services assigned the 1285716928 to Jackson Va Medical Center on 2006-10-20.
When was the information pertaining to Jackson Va Medical Center most recently updated or revised?
The details related to Jackson Va Medical Center, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.