Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON PRIMARY CARE LLC
Active OrganizationJACKSON PRIMARY CARE LLC is a Primary Care Clinic organization located in JACKSON, Missouri. NPI 1790213676 is currently active in the NPPES registry. Verify at CMS.
Primary Care Clinic · JACKSON, MO
Registration Details
- NPI Number
- 1790213676
- Provider Type
- Organization
- NPI Issued
- May 23, 2017 (9.2733786188186 yrs)
- Last Updated
- May 25, 2017
- License
-
106442 (MO)
Practice Information
- Address
-
2685 E MAIN ST STE AJACKSON, MO, 637552474Browse MO providers · Browse ZIP 63755
- Phone
- 5732041400
- Fax
- 5732041480
- Primary Specialty
-
Primary Care Clinic
261QP2300X
- Additional Specialty
- Primary Care Clinic
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.