| Optimum Health Institute | |
|
6501 Dogwood View Pkwy Jackson MS 39213-7857 | |
| (601) 366-7447 | |
| (601) 366-7427 |
| Full Name | Optimum Health Institute |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6501 Dogwood View Pkwy, Jackson, Mississippi |
| Authorized Official Name and Position | Joseph White (OWNER) |
| Authorized Official Contact | 6013667447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Health Institute 6501 Dogwood View Pkwy Jackson MS 39213-7857 Ph: (601) 366-7447 | Optimum Health Institute 6501 Dogwood View Pkwy Jackson MS 39213-7857 Ph: (601) 366-7447 |
| NPI Number | 1184755738 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184755738 | NPI | - | NPPES |
| 05638837 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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