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JACKSON MADISON COUNTY REGIONAL HEALTH DEPARTMENT NPI 1265700637


NPI Information

NPI: 1265700637
Provider Name: JACKSON MADISON COUNTY REGIONAL HEALTH DEPARTMENT
Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

Address:
804 N PARKWAY
JACKSON, TN
ZIP 38305
Phone: (731) 423-3020
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JACKSON MADISON COUNTY REGIONAL HEALTH DEPARTMENT is a public health and state or local clinic center in Jackson, TN. JACKSON MADISON COUNTY REGIONAL HEALTH DEPARTMENT NPI is 1265700637. The provider is registered as an organization entity type.

The provider's business location address is:

804 N PARKWAY
JACKSON, TN
ZIP 38305-058
Phone: (731) 423-3020
Fax: (731) 927-8601

The provider's authorized official is Quill James Brabham .
The authorized official title is Public Health Represenative and has the following contact phone number (731) 423-3020.

The enumeration date for this NPI number is 12/13/2011 and was last updated on 12/13/2011.


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
1261QP0905XClinic/CenterPublic Health, State or Local0157449RETENNESSEEYes

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
1P00276040MEDICARE OSCAR/CERTIFICATIONTENNESSEE
23914083MEDICARE OSCAR/CERTIFICATIONTENNESSEE
34448133MEDICAIDTENNESSEE
45607MEDICARE UPINTENNESSEE

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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