| Jackson Complex Health Center | |
|
3619 Highway 10 Jackson LA 70748 | |
| (225) 683-1360 | |
| (225) 634-0005 |
| Full Name | Jackson Complex Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3619 Highway 10, Jackson, Louisiana |
| Authorized Official Name and Position | Christi C Hunt (CEO) |
| Authorized Official Contact | 2256835292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Complex Health Center P.o. Box 395 Clinton LA 70722-0395 Ph: (225) 683-5292 | Jackson Complex Health Center 3619 Highway 10 Jackson LA 70748 Ph: (225) 683-1360 |
| NPI Number | 1437258043 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 04/12/2022 |
| Medicare PECOS PAC ID | 1052220985 |
|---|---|
| Medicare Enrollment ID | O20070509000584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437258043 | NPI | - | NPPES |
| 1448389 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Louisiana) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
East Feliciana Primary Care Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3050 Charles Dr, Jackson, LA 70748 Phone: 225-634-3517 Fax: 225-635-5057 |