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JACKSON HEALTH SERVICES NPI 1205090354


NPI Information

NPI: 1205090354
Provider Name: JACKSON HEALTH SERVICES
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
3800 WOODWARD AVE
STE. 418
DETROIT, MI
ZIP 48201
Phone: (313) 831-8805
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JACKSON HEALTH SERVICES is a clinic center in Detroit, MI. The provider is 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., radiology, poor, and public health). JACKSON HEALTH SERVICES NPI is 1205090354. The provider is registered as an organization entity type.

The provider's business location address is:

3800 WOODWARD AVE
STE. 418
DETROIT, MI
ZIP 48201-061
Phone: (313) 831-8805
Fax: (313) 832-8206

The provider's authorized official is Mary L. Jackson-hammond .
The authorized official title is Medical Director and has the following contact phone number (313) 831-8805.

The enumeration date for this NPI number is 7/17/2008 and was last updated on 7/17/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center4301046737MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B46034MEDICARE UPINMICHIGAN
20M81310MEDICARE PINMICHIGAN
34180604MEDICAIDMICHIGAN

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.