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JACKSON VAMC NPI 1154784965


NPI Information

NPI: 1154784965
Provider Name: JACKSON VAMC

Other Name: JACKSON VA CARE SITE

Classification: Psychiatric Residential Treatment Facility - 323P00000X
Entity Type: Organization
Address:
1500 WOODROW WILSON AVE
JACKSON, MS
ZIP 39216
Phone: (615) 355-3451
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JACKSON VAMC is a psychiatric residential treatment facility in Jackson, MS. The provider is a residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary JACKSON VAMC NPI is 1154784965. The provider is registered as an organization entity type.
The provider Other Name Is Jackson Va Care Site.

The provider's business location address is:

1500 WOODROW WILSON AVE
JACKSON, MS
ZIP 39216-116
Phone: (615) 355-3451

The provider's authorized official is Erin Potter .
The authorized official title is Npi Team Member and has the following contact phone number (202) 382-2579.

The enumeration date for this NPI number is 3/30/2016 and was last updated on 10/4/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1323P00000XPsychiatric Residential Treatment FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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