JACKSON VAMC


Address: 105 Northgate Rd, Suite 2, Natchez, MS 39120-9162
Phone: 6153553451

JACKSON VAMC (NPI# 1528006152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528006152
Entity Type Organization
Organization Name JACKSON VAMC
Other Organization Name NATCHEZ VA CBOC
Practice Address 105 Northgate Rd
Suite 2
Natchez
MS 39120-9162
Mailing Address Po Box 94497
Cleveland
OH 44101-4497
Practice Telephone 6153553451
Mailing Telephone 6153553451
Enumeration Date 2006-06-04
Last Update Date 2017-10-04
Authorized Official Name ERIN POTTER (NPI TEAM MEMBER)
Authorized Official Telephone 2023822579
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QV0200X Clinic/Center
Specialization: VA
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Natchez VA CBOC Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407303050 Jackson Vamc Clinic/Center 6522 Dogwood View Parkway, Suite F, Jackson, MS 39213-7858 2016-09-01
1841232097 Jackson Vamc Clinic/Center 405 W Adams St, Kosciusko, MS 39090-3617 2006-06-12
1043250418 Jackson Vamc Clinic/Center 1502 S Colorado St, Greenville, MS 38703-7219 2006-06-07
1669410288 Jackson Vamc Clinic/Center 2103 13th St, Meridian, MS 39301-4045 2006-06-04
1376598698 Jackson Vamc Clinic/Center 5003 Hardy Street, Tower B Suite 402, Hattiesburg, MS 39402-1331 2006-05-24
1295787364 Jackson Vamc Clinic/Center 824 Alabama St, Columbus, MS 39702-5436 2006-05-17
1154784965 Jackson Vamc Psychiatric Residential Treatment Facility 1500 Woodrow Wilson Ave, Jackson, MS 39216-5116 2016-03-30
1922496280 Jackson Vamc Clinic/Center 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2015-01-08
1467762120 Jackson Vamc Clinic/Center 1308 Harrison Ave, Mccomb, MS 39648-2830 2010-10-15
1992754543 Jackson Vamc General Acute Care Hospital 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2006-05-10

Office Location

Street Address 105 NORTHGATE RD
SUITE 2
City NATCHEZ
State MS
Zip Code 39120-9162

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730506981 Amanda Howington Nurse Practitioner 105 Northgate Rd, Suite D, Natchez, MS 39120-9162 2014-03-26
1063651925 Warren Lane Merriett Jr. Nurse Practitioner 105 Northgate Rd, Suite 2, Natchez, MS 39120-9162 2009-02-16
1649350489 Donna E Burris Social Worker 105 Northgate Rd, Suite 2, Natchez, MS 39120-9162 2006-10-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558903518 Rosa L. Newman Foster Care Agency 722 North Rankin St, Natchez, MS 39120 2019-10-11
1114572625 Tiffany Cassandra Lockhart Counselor 60 Roux Road, Natchez, MS 39120 2019-08-02
1164918728 We Care Express LLC Non-emergency Medical Transport (VAN) 137 Greystone Pl, Natchez, MS 39120 2018-07-06
1053841585 Tyler Lee Huls Specialist/Technologist 48 Sgt Prentiss Drive, Natchez, MS 39120 2017-06-18
1336594985 Nkechinyere Christina Nwoko Podiatrist 46 Sgt Prentiss Dr Ste 201b, Natchez, MS 39120 2016-05-02
1073983433 Lillie Christine Hauer Case Manager/Care Coordinator 9 Roux 61, Suite C, Natchez, MS 39120 2015-09-29
1760818017 Miss-lou Dental LLC Dentist 110 Highway 61 South, Natchez, MS 39120 2013-09-18
1922344902 Bluebonnet Dental Care Natchez Dentist 101 Highway 61 South, Natchez, MS 39120 2012-12-20
1265781033 Hal Sheldon Edwards Pharmacist 285 Sgt Prentiss Drive, Natchez, MS 39120 2012-09-07
1790031607 Catherine Misita Social Worker 113 N Union St, Natchez, MS 39120 2012-07-29
Find all providers in zip 39120

Taxonomy Information

Taxonomy Code 261QV0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization VA

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407303050 Jackson Vamc Clinic/Center 6522 Dogwood View Parkway, Suite F, Jackson, MS 39213-7858 2016-09-01
1841232097 Jackson Vamc Clinic/Center 405 W Adams St, Kosciusko, MS 39090-3617 2006-06-12
1043250418 Jackson Vamc Clinic/Center 1502 S Colorado St, Greenville, MS 38703-7219 2006-06-07
1669410288 Jackson Vamc Clinic/Center 2103 13th St, Meridian, MS 39301-4045 2006-06-04
1073552436 Memphis Vamc Clinic/Center 1114 Commonwealth Blvd., Tupelo, MS 38804-9998 2006-06-04
1376598698 Jackson Vamc Clinic/Center 5003 Hardy Street, Tower B Suite 402, Hattiesburg, MS 39402-1331 2006-05-24
1194778357 Memphis Vamc Clinic/Center 1700 Crescent Meadows, Holly Springs, MS 38635-7414 2006-05-18
1295787364 Jackson Vamc Clinic/Center 824 Alabama St, Columbus, MS 39702-5436 2006-05-17
1972044048 Dewona Flowers Clinic/Center 604 Lexington Cv, Byram, MS 39272-3004 2017-03-09
1245770445 Clinton Medical Center Clinic/Center 604 Lexington Cv, Byram, MS 39272-3004 2017-03-07
Find all providers with the same taxonomy

Competitor

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City NATCHEZ
Zip Code 39120

Improve Information

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Dataset Information

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.

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