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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACKSON PRIMARY CARE LLC

Active Organization

JACKSON PRIMARY CARE LLC is a Family Medicine organization located in JACKSON, Missouri. NPI 1619961380 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · JACKSON, MO

Registration Details

NPI Number
1619961380
Provider Type
Organization
NPI Issued
Sep 8, 2005 (20.928988469522 yrs)
Last Updated
Oct 26, 2010

Practice Information

Address
2685 E MAIN ST SUITE A
STE A
JACKSON, MO, 63755
Browse MO providers · Browse ZIP 63755
Phone
5732041400
Fax
5732041480
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Rural Health Clinic
Additional Specialty
Family Medicine

Other Family Medicine Organizations in JACKSON, MO

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.