PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA I (NPI# 1437258043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437258043 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA I |
| Other Organization Name | JACKSON COMPLEX HEALTH CENTER |
| Practice Address |
3501 Highway 10 Jackson LA 70748-6238 |
| Mailing Address |
P.o. Box 395 Clinton LA 70722-0395 |
| Practice Telephone | 2256347145 |
| Mailing Telephone | 2256831360 |
| Mailing Fax Number | 2256831369 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2011-11-28 |
| Authorized Official Name | GINGER A HUNT (CEO) |
| Authorized Official Telephone | 2256835292 |
| Authorized Official Credential | FPNP-C |
| Is Organization Subpart | Y |
| Parent Organization Name | PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | LA | Allopathic & Osteopathic Physicians | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1448389 | 05 |
| Other Name | Type Code |
|---|---|
| Jackson Complex Health Center | Doing Business As Name - Organization |
| Street Address |
3501 HIGHWAY 10 |
| City | JACKSON |
| State | LA |
| Zip Code | 70748-6238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972143196 | Aslyn Nicole George | Registered Nurse | 3501 Highway 10, Jackson, LA 70748-6238 | 2020-01-15 |
| 1265097844 | Brittney Dlacia Bell | Registered Nurse | 3501 Highway 10, Jackson, LA 70748-6238 | 2019-05-08 |
| 1942676911 | Katherine L Perkins | Nurse Practitioner | 3501 Highway 10, Jackson, LA 70748-6238 | 2015-08-13 |
| 1013266162 | Wanda Lynn Pezant | Nurse Practitioner | 3501 Highway 10, Jackson, LA 70748-6238 | 2012-09-05 |
| 1194074252 | Katie Lynn Brabham | Social Worker | 3501 Highway 10, Jackson, LA 70748-6238 | 2012-09-05 |
| 1013299502 | Randi C Leblanc | Social Worker | 3501 Highway 10, Jackson, LA 70748-6238 | 2011-09-12 |
| 1033498183 | Allison B Coleman | Social Worker | 3501 Highway 10, Jackson, LA 70748-6238 | 2011-08-08 |
| 1881733673 | Krista Phillips Connell | Nurse Practitioner | 3501 Highway 10, Jackson, LA 70748-6238 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114380979 | Natashia Folse | Counselor | 3365 Market St., Jackson, LA 70748 | 2016-03-30 |
| 1457674368 | Charles Harold Martin | Social Worker | 4739 Hwy 10, Jackson, LA 70748 | 2010-03-05 |
| 1497966576 | Dahn Savell | Social Worker | 4502 Hwy. 10, Jackson, LA 70748 | 2007-05-24 |
| 1174732333 | Louisiana War Veterans Home | Skilled Nursing Facility | 4739 Highway 10, Jackson, LA 70748 | 2007-05-22 |
| 1043337538 | Gregory J Dolese | Pharmacist | 4052 Hwy 951, 200 Building, Jackson, LA 70748 | 2007-03-22 |
| 1609914902 | Waylon Morris Parker | Pediatrics | 5002 Highway 10, Villa Feliciana Medical Complex, Jackson, LA 70748 | 2007-02-01 |
| 1952453854 | Marcelita A Bermudez | Psychiatry & Neurology | 4502 Hwy 951, Jackson, LA 70748 | 2007-01-18 |
| 1639228174 | Villa Feliciana Medical Complex | Long Term Care Hospital | 5002 Hwy 10, Jackson, LA 70748 | 2007-01-10 |
| 1457420879 | Feliciana Consultants, Inc. | Home Health | 3613 College Street, Jackson, LA 70748 | 2006-11-07 |
| 1073539300 | Patrick G Mccrossen | Dentist | 4502 Louisiana Hwy 951, Jackson, LA 70748 | 2006-07-13 |
| Find all providers in zip 70748 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689047292 | Central Mississippi Civic Improvement Association, Inc | Clinic/Center | 3930 Skyview Dr, Jackson, MS 39213-5318 | 2015-11-04 |
| 1134592777 | Central Mississippi Civic Improvement Association, Inc | Clinic/Center | 415 Claiborne Ave, Jackson, MS 39209-5321 | 2015-11-04 |
| 1588088025 | Southside Medical Center, Inc. | Clinic/Center | 176 Lyons St, Jackson, GA 30233-2134 | 2014-02-04 |
| 1326328311 | Rural Health Services, Inc. | Clinic/Center | 210 Atomic Rd, Jackson, SC 29831-3409 | 2011-08-22 |
| 1427377266 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 350 Woodrow Wilson Blvd, Jackson, MS 39213-4454 | 2010-05-19 |
| 1376732313 | Central Mississippi Civic Improvement Association | Clinic/Center | 1716 Isable St, Jackson, MS 39204-2352 | 2007-10-16 |
| 1447448667 | Central Mississippi Civic Improvement Association | Clinic/Center | 2185 Fortune St, Jackson, MS 39204-2333 | 2007-10-12 |
| 1205021946 | Central Mississippi Civic Improvement Association, Inc | Clinic/Center | 327 S Gallatin St, Jackson, MS 39203-3514 | 2007-09-06 |
| 1598893547 | Rural Health Group, Inc. | Clinic/Center | 9409 Nc Hwy 305, Jackson, NC 27845-0594 | 2007-03-01 |
| 1023100955 | Community Action Committee of Pike County | Clinic/Center | 14590 State Route 93, Jackson, OH 45640-8977 | 2006-09-28 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA I.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.