JACKSON PARISH HOSPITAL (NPI# 1295965564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295965564 |
| Entity Type | Organization |
| Organization Name | JACKSON PARISH HOSPITAL |
| Other Organization Name | CHATHAM MEDICAL CLINIC |
| Practice Address |
804 Chatham Avenue Chatham LA 71226 |
| Mailing Address |
165 Beech Springs Rd Jonesboro LA 71251-2013 |
| Practice Telephone | 3182493200 |
| Practice Fax Number | 3182493204 |
| Mailing Telephone | 3183954435 |
| Mailing Fax Number | 3183954291 |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2017-10-05 |
| Authorized Official Name | JOHN MORGAN (CEO) |
| Authorized Official Telephone | 3183954223 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
230 RHC-3 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | MEDICARE NUMBER | 193483 | 01 |
| LA | 2338765 | 05 |
| Other Name | Type Code |
|---|---|
| Chatham Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093793408 | Jackson Parish Hospital | General Acute Care Hospital | 165 Beech Springs Rd, Jonesboro, LA 71251 | 2006-01-05 |
| 1699930578 | Jackson Parish Hospital | Clinic/Center | 121 Watts St, Suite E & F, Jonesboro, LA 71251-2062 | 2008-07-21 |
| 1215113014 | Jackson Parish Hospital | General Practice | 165 Beech Springs Rd, Jonesboro, LA 71251-2013 | 2008-01-11 |
| 1285834366 | Jackson Parish Hospital | General Acute Care Hospital | 165 Beech Springs Rd, Jonesboro, LA 71251-2013 | 2007-07-18 |
| 1992845564 | Jackson Parish Hospital | Clinic/Center | 107 Watts St, Jonesboro, LA 71251-2053 | 2007-02-06 |
| 1891835468 | Jackson Parish Hospital | Clinic/Center | 121 Watts St, Suite A, B, E & F, Jonesboro, LA 71251-2062 | 2007-02-06 |
| Street Address |
804 CHATHAM AVENUE |
| City | CHATHAM |
| State | LA |
| Zip Code | 71226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760733539 | Wings of Eagles Behavioral Health | Counselor | 201 Pine Bluff Rd, Chatham, LA 71226-7904 | 2012-09-19 |
| 1740449057 | Nancy Jepsen Busby | Nurse Practitioner | 804 Chatham Ave, Chatham, LA 71226-8917 | 2008-06-03 |
| 1972973147 | Aaron Nash | Pharmacist | 174 Ira Wyatt Rd, Chatham, LA 71226-9007 | 2015-10-01 |
| 1114222072 | Caldwell Memorial Hospital, Inc | Clinic/Center | 6619 Highway 34, Chatham, LA 71226-9326 | 2011-01-24 |
| 1144359076 | Eternal Blessings Inc | Preferred Provider Organization | 6603 Highway 34, Chatham, LA 71226-9326 | 2007-03-05 |
| 1316339898 | Eternal Blessings | In Home Supportive Care | 6603 Highway 34, Chatham, LA 71226-9326 | 2015-02-20 |
| 1740690643 | Eternal Blessings | Day Training, Developmentally Disabled Services | 6603 Highway 34, Chatham, LA 71226-9326 | 2014-04-30 |
| 1144590142 | Eternal Blessings Personal Care Services | Day Training, Developmentally Disabled Services | 6603 Highway 34, Chatham, LA 71226-9326 | 2012-01-06 |
| 1003947532 | Eternal Blessings Inc | Preferred Provider Organization | 6603 Highway 34, Chatham, LA 71226-9326 | 2007-03-08 |
| 1184755613 | Eternal Blessings Inc | Preferred Provider Organization | 6603 Highway 34, Chatham, LA 71226-9326 | 2007-03-08 |
| Find all providers in zip 71226 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114222072 | Caldwell Memorial Hospital, Inc | Clinic/Center | 6619 Highway 34, Chatham, LA 71226-9326 | 2011-01-24 |
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| 1679126510 | Pediatric Group of Acadiana, LLC | Clinic/Center | 1307 Crowley Rayne Hwy Ste C, Crowley, LA 70526-8210 | 2019-07-19 |
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| 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.