Jackson Primary Care LLC
Jackson Primary Care LLC is a Primary Care Clinic/Center in Jackson, Missouri. Licensed in Missouri. Registered with an NPI since 2017.
- Licensed in
- MO
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2685 E Main St Ste AJackson, MO 63755-2474
Phone: (573) 204-1400
Fax: (573) 204-1480
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X |
|---|---|
| Rural Health Clinic/Center | Taxonomy 261QR1300X · Licence 106442 (MO) |
Record details
| NPI number | 1790213676 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joan Mayberry — Office Manager · (573) 204-1400 |
| NPI enumerated | May 23, 2017 |
| Last updated in NPPES | May 25, 2017 |
| Mailing address | 2685 E Main St Ste A, Jackson, MO 63755-2474 |