| Jackson High Teen Health Center | |
|
544 Wildwood Ave Jackson MI 49201-1013 | |
| (517) 780-0838 | |
| (517) 780-0689 |
| Full Name | Jackson High Teen Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 544 Wildwood Ave, Jackson, Michigan |
| Authorized Official Name and Position | Molly Kaser (CEO) |
| Authorized Official Contact | 5177485500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson High Teen Health Center 505 N Jackson St Jackson MI 49201-1266 Ph: (517) 748-5500 | Jackson High Teen Health Center 544 Wildwood Ave Jackson MI 49201-1013 Ph: (517) 780-0838 |
| NPI Number | 1366740342 |
|---|---|
| Provider Enumeration Date | 03/01/2011 |
| Last Update Date | 02/10/2022 |
| Certification Date | 02/10/2022 |
| Medicare PECOS PAC ID | 4587574421 |
|---|---|
| Medicare Enrollment ID | O20110315000483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366740342 | NPI | - | NPPES |
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