| Jackson Medical Clinic Llc | |
|
501 Marshall St Suite 208 Jackson MS 39202-1651 | |
| (601) 352-2273 | |
| (601) 353-4414 |
| Full Name | Jackson Medical Clinic Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 501 Marshall St, Jackson, Mississippi |
| Authorized Official Name and Position | James C Bethea (CEO) |
| Authorized Official Contact | 6013522273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Medical Clinic Llc Po Box 23996 Jackson MS 39225-3996 Ph: (601) 206-6113 | Jackson Medical Clinic Llc 501 Marshall St Suite 208 Jackson MS 39202-1651 Ph: (601) 352-2273 |
| NPI Number | 1548219884 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 02/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548219884 | NPI | - | NPPES |
| 09014760 | Medicaid | MS | |
| CD1075 | Other | MS | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Ben W. Seale, M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Dr, Suite 450, Jackson, MS 39216 Phone: 601-948-5158 Fax: 601-949-6058 | |
Central Mississippi Health Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3450 Highway 80 W Ste 71, Jackson, MS 39209 Phone: 601-321-2400 | |
Hni Medical Services Of Mississippi, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 969 Lakeland Dr, Jackson, MS 39216 Phone: 601-200-2000 | |
Medical Care Associates Mobile Unit Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3855 Azalea Dr, Jackson, MS 39206 Phone: 601-366-9447 | |
The Wound Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-2561 Fax: 601-376-2570 | |
Quad Intermed Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5005 Old Canton Rd, Jackson, MS 39211 Phone: 601-957-3333 | |
Vanessa L. Sandifer, M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Drive, Suite 450, Jackson, MS 39216 Phone: 601-948-5158 Fax: 601-949-6058 |