| Ahf | |
|
766 Lakeland Dr Suite A Jackson MS 39216-4610 | |
| (601) 368-3440 | |
| (601) 368-3441 |
| Full Name | Ahf |
|---|---|
| Speciality | Clinic/Center |
| Location | 766 Lakeland Dr, Jackson, Mississippi |
| Authorized Official Name and Position | Lyle Honig Mojica (CFO) |
| Authorized Official Contact | 3238605305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahf 6255 W Sunset Blvd Fl 21 Los Angeles CA 90028-7422 Ph: (323) 866-5200 | Ahf 766 Lakeland Dr Suite A Jackson MS 39216-4610 Ph: (601) 368-3440 |
| NPI Number | 1255688057 |
|---|---|
| Provider Enumeration Date | 08/10/2012 |
| Last Update Date | 03/06/2024 |
| Medicare PECOS PAC ID | 2668369109 |
|---|---|
| Medicare Enrollment ID | O20151005003100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255688057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jo P Deal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003826272 PECOS PAC ID: 1850497397 Enrollment ID: I20070430000681 |
| Provider Name | Ann Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588856959 PECOS PAC ID: 3072696178 Enrollment ID: I20080213000242 |
| Provider Name | Sheronda Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720599376 PECOS PAC ID: 0941556880 Enrollment ID: I20180706000503 |
| Provider Name | Mitchell Whitehead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427460526 PECOS PAC ID: 9537384060 Enrollment ID: I20220811001855 |
Ben W. Seale, M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Dr, Suite 450, Jackson, MS 39216 Phone: 601-948-5158 Fax: 601-949-6058 | |
Central Mississippi Health Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3450 Highway 80 W Ste 71, Jackson, MS 39209 Phone: 601-321-2400 | |
Hni Medical Services Of Mississippi, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 969 Lakeland Dr, Jackson, MS 39216 Phone: 601-200-2000 | |
Medical Care Associates Mobile Unit Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3855 Azalea Dr, Jackson, MS 39206 Phone: 601-366-9447 | |
The Wound Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-2561 Fax: 601-376-2570 | |
Quad Intermed Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5005 Old Canton Rd, Jackson, MS 39211 Phone: 601-957-3333 | |
Vanessa L. Sandifer, M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Drive, Suite 450, Jackson, MS 39216 Phone: 601-948-5158 Fax: 601-949-6058 |