ANN MARSHALL (NPI# 1164878419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164878419 |
| Entity Type | Organization |
| Organization Name | ANN MARSHALL |
| Practice Address |
2964 Terry Rd Jackson MS 39212-3055 |
| Practice Telephone | 6016243352 |
| Mailing Telephone | 6016243352 |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |
| Authorized Official Name | ANN MARSHALL (ADMINISTRATOR) |
| Authorized Official Telephone | 6016243352 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00422291 | 05 |
| Street Address |
2964 TERRY RD |
| City | JACKSON |
| State | MS |
| Zip Code | 39212-3055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588728067 | Charles V Mathews | Chiropractor | 2964 Terry Rd, Suite B-2, Jackson, MS 39212-3055 | 2006-12-20 |
| 1841690757 | Therapy Works | Clinic/Center | 2964 Terry Rd, Jackson, MS 39212-3055 | 2014-08-27 |
| 1568749810 | Aanda Medical Supply | Durable Medical Equipment & Medical Supplies | 2964 Terry Rd, Jackson, MS 39212-3055 | 2011-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013406172 | South Central Community Action Agency, Inc | Non-emergency Medical Transport (VAN) | 3891 I-55 South Frontage Rd, Jackson, MS 39212 | 2018-05-04 |
| 1508305780 | Caring Companions LLC | Home Health | 1024 Cooper Rd, Jackson, MS 39212 | 2017-02-21 |
| 1750634044 | Christians In Action, Inc. | Community/Behavioral Health | 2025 North Siwell Rd, Jackson, MS 39212 | 2012-10-24 |
| 1609164748 | Counseling and Mentoring Program | Community/Behavioral Health | 2964 Terry Road B-1, Jackson, MS 39212 | 2011-07-11 |
| 1407179039 | Caring Hands Community Services Inc | Skilled Nursing Facility | 3318 Longwood Drive, Jackson, MS 39212 | 2010-03-10 |
| 1992239404 | Shaemik Harris | Registered Nurse | 3520 Sykes Park Dr, Jackson, MS 39212 | 2017-04-12 |
| 1780044438 | Alfonzo Haralson | Counselor | 132 Thousand Oaks Cir, Jackson, MS 39212-2046 | 2016-02-24 |
| 1659384063 | Kentrell Marie Liddell | Family Medicine | 2104 Thousand Oaks Dr, Jackson, MS 39212-2048 | 2006-08-15 |
| 1649819590 | George Cavett Jr. | Nurse Practitioner | 2450 Twisted Oak Dr, Jackson, MS 39212-2137 | 2019-12-24 |
| 1912455361 | Victorious Healthcare L.L.C. | Assisted Living Facility | 4959 Laurel Oak Dr, Jackson, MS 39212-2150 | 2016-09-14 |
| Find all providers in zip 39212 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629510540 | Mississippi Comprehensive Treatment Centers, LLC | Clinic/Center | 1935 Lakeland Dr Ste 900, Jackson, MS 39216-5028 | 2016-11-09 |
| 1871752105 | Raleigh Professional Associates | Clinic/Center | 1869 Highway 45 Byp, Suite 5, Jackson, TN 38305-2464 | 2008-06-02 |
| 1093963944 | South Georgia Treatment, Inc | Clinic/Center | 794 Mcdonough Rd, Jackson, GA 30233-1572 | 2008-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861928541 | Metro Treatment of Mississippi Lp | Clinic/Center | 8900 Delta Bluffs Cove, Walls, MS 38680 | 2017-05-02 |
| 1124559976 | Metro Treatment of Mississippi, Lp | Clinic/Center | 1989 Pass Rd, Biloxi, MS 39531-4103 | 2017-03-23 |
| 1336688845 | Metro Treatment of Mississippi, Lp | Clinic/Center | 2419 10th St, Meridian, MS 39301-5040 | 2017-02-16 |
| 1467998344 | Mississippi Comprehensive Treatment Centers, LLC | Clinic/Center | 14070 Dedeaux Rd, Gulfport, MS 39503-4502 | 2017-01-16 |
Please comment or provide details below to improve the information on ANN MARSHALL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.