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PHS OF MICHIGAN PC NPI 1265729883


NPI Information

NPI: 1265729883
Provider Name: PHS OF MICHIGAN PC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1780 E PARNALL RD
PARNALL CORRECTION FACILITY- MEDICAL CLINIC
JACKSON, MI
ZIP 49201
Phone: (517) 780-6393
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PHS OF MICHIGAN PC is a clinic center in Jackson, 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). PHS OF MICHIGAN PC NPI is 1265729883. The provider is registered as an organization entity type.

The provider's business location address is:

1780 E PARNALL RD
PARNALL CORRECTION FACILITY- MEDICAL CLINIC
JACKSON, MI
ZIP 49201-136
Phone: (517) 780-6393

The provider's authorized official is Erin Cody .
The authorized official title is State Medical Director and has the following contact phone number (517) 827-3200.

The enumeration date for this NPI number is 7/3/2011 and was last updated on 7/3/2011.


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
1261Q00000XClinic/Center4301094288MICHIGANYes

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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