Organization · Type 2 NPI
Central Jackson Family Medical Clinic
Medical Specialty Clinic/Center · Jackson, MS
Practice location
514 C Woodrow Wilson
Jackson, MS 39216
Fax (601) 981-6616
Mailing address
P.o. Box 4610
Jackson, MS 39296-4610
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | 13653 (MS) |
| Medical Specialty Clinic/Center | 261QM2500X | 18905 (MS) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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About NPI 1154549707
Central Jackson Family Medical Clinic's National Provider Identifier is 1154549707, issued on Apr 20, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Jackson, MS. The record was last updated on Dec 9, 2010.