JACKSON PARISH HOSPITAL NPI 1992845564

NPI Information

NPI: 1992845564
Provider Name: JACKSON PARISH HOSPITAL
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 19D2100347

Address:
107 WATTS ST
JONESBORO, LA
ZIP 71251
Phone: (318) 395-2121
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JACKSON PARISH HOSPITAL is a rural health clinic center in Jonesboro, LA. JACKSON PARISH HOSPITAL NPI is 1992845564. The provider is registered as an organization entity type.

The provider's business location address is:

107 WATTS ST
JONESBORO, LA
ZIP 71251-053
Phone: (318) 395-2121
Fax: (318) 395-8768

The provider's authorized official is John Morgan .
The authorized official title is Ceo and has the following contact phone number (318) 395-4223.

The CLIA number assigned to this NPI record is 19D2100347 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 10/9/2017.

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
1	261QR1300X	Clinic/Center	Rural Health	230	LOUISIANA	Yes

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
1	1447935	MEDICAID	LOUISIANA
2	193457	MEDICARE OSCAR/CERTIFICATION	LOUISIANA

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

NPI Synchronization or Removal

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