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AIDS HEALTH FOUNDATION NPI 1548772593


NPI Information

NPI: 1548772593
Provider Name: AIDS HEALTH FOUNDATION

Doing Business As: AHF MOBILE

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 25D2050092

Address:
766 LAKELAND DR
JACKSON, MS
ZIP 39216
Phone: (601) 368-3440
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AIDS HEALTH FOUNDATION is a clinic center in Jackson, MS. 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). AIDS HEALTH FOUNDATION NPI is 1548772593. The provider is registered as an organization entity type.
The provider Is Doing Business As Ahf Mobile.

The provider's business location address is:

766 LAKELAND DR
JACKSON, MS
ZIP 39216-610
Phone: (601) 368-3440

The provider's authorized official is Donna Stidham .
The authorized official title is Chief, Managed Care and has the following contact phone number (323) 436-5019.

The CLIA number assigned to this NPI record is 25D2050092 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2017 and was last updated on 10/31/2017.


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

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

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