JACKSON COUNTY (NPI# 1780692400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780692400 |
| Entity Type | Organization |
| Organization Name | JACKSON COUNTY |
| Other Organization Name | JACKSON COUNTY HEALTH DEPARTMENT |
| Practice Address |
1715 Lansing Ave Jackson MI 49202-2193 |
| Practice Telephone | 5177884420 |
| Practice Fax Number | 5177884373 |
| Mailing Telephone | 5177884420 |
| Mailing Fax Number | 5177884373 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-04-27 |
| Authorized Official Name | MS. RASHMI TRAVIS (HEALTH OFFICER) |
| Authorized Official Telephone | 5177681658 |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF JACKSON |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | HEALTH PLAN OF MICHIGAN | 1330 | 01 |
| MI | 77 1850332 | 05 | |
| MI | 77 279528 | 05 | |
| MI | 77 4387900 | 05 | |
| MI | HEALTH PLAN OF MICHIGAN | 1339 | 01 |
| MI | 77 4411621 | 05 | |
| MI | BLUE CARE NETWORK OF MI | OC8100 | 01 |
| MI | 23 5100475 | 05 | |
| MI | GREAT LAKES HEALTH PLAN | 4300 | 01 |
| MI | HEALTH PLAN OF MICHIGAN | 868 | 01 |
| MI | 15 5173678 | 05 | |
| MI | 77 3144336 | 05 | |
| MI | 77 3363548 | 05 | |
| MI | HEALTH PLAN OF MICHIGAN | 85 | 01 |
| MI | GREAT LAKES HEALTH PLAN | 895 | 01 |
| MI | 77 4411612 | 05 |
| Other Name | Type Code |
|---|---|
| Jackson County Health Department | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437260528 | Jackson County | Secured Medical Transport (VAN) | 520 N University Ave, Carbondale, IL 62901-1375 | 2006-08-31 |
| 1073032355 | Jackson County | Case Manager/Care Coordinator | 1715 Lansing Ave, Jackson, MI 49202-2193 | 2017-09-18 |
| 1508193046 | Jackson County | Case Management | 1715 Lansing Ave, Suite 672, Jackson, MI 49202-2192 | 2009-11-04 |
| 1831294461 | Jackson County | Clinic/Center | 415 Health Department Rd, Murphysboro, IL 62966-6108 | 2006-09-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JACKSON COUNTY | 415 E 12th St, Kansas City, MO 64106-2706 |
| Oregon Corporations, Companies and Business Names | JACKSON COUNTY 4-H ASSOCIATION | Jackson County Extension Office, 569 Hanley Rd, Central Point, OR 97502 |
| Oregon Corporations, Companies and Business Names | JACKSON COUNTY 4-H FFA JR. LIVESTOCK AUCTION COMMITTEE | 280 Worthington Road, Eagle Point, OR 97524 |
| System for Award Management (SAM) Entities | JACKSON COUNTY ABSTRACT & TITLE GUARANTEE CO | 110 S 11th St, Murphysboro, IL 62966-2639 |
| Oregon Corporations, Companies and Business Names | JACKSON COUNTY ACCOUNTING AND TAX SERVICE | 1128 W Main St, Medford, OR 97501 |
| Oregon Corporations, Companies and Business Names | JACKSON COUNTY ACCOUNTING AND TAX SERVICES | 1128 W Main St, Medford, OR 97501 |
| System for Award Management (SAM) Entities | JACKSON COUNTY AIRPORT AUTHORITY | 1000 Terminal Loop Pkwy Ste 201, Medford, OR 97504-4155 |
| Oregon Corporations, Companies and Business Names | JACKSON COUNTY AMATEUR RADIO EMERGENCY SERVICE | 311 Sheridan St, Ashland, OR 97520 |
| System for Award Management (SAM) Entities | JACKSON COUNTY AMBULANCE SERVICE | 1035 Mccannon Ridge Rd, Mc Kee, KY 40447-6320 |
| Indiana Business Entities | JACKSON COUNTY ANTIQUE MACHINERY ASSN., INC. | 12877 E Co Rd 200 S, Crothersville, IN 47229 |
| Street Address |
1715 LANSING AVE |
| City | JACKSON |
| State | MI |
| Zip Code | 49202-2193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073032355 | Jackson County | Case Manager/Care Coordinator | 1715 Lansing Ave, Jackson, MI 49202-2193 | 2017-09-18 |
| 1518330992 | Smiles On Wheels | Clinic/Center | 1715 Lansing Ave, Room 261, Jackson, MI 49202-2192 | 2015-11-05 |
| 1801123963 | Jennifer Dawn Guthrie | Counselor | 1715 Lansing Ave, Suite 672, Jackson, MI 49202-2192 | 2009-11-11 |
| 1508193046 | Jackson County | Case Management | 1715 Lansing Ave, Suite 672, Jackson, MI 49202-2192 | 2009-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
| 1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| 1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
| 1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
| 1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
| 1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
| Find all providers in zip 49202 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730697756 | Amy Schultz | Preventive Medicine | 1715 Lansing Ave Ste 221, Jackson, MI 49202-2193 | 2018-01-11 |
| 1710341771 | Sisters In Birth, Inc. | Preventive Medicine | 3000 Old Canton Rd Ste 280, Jackson, MS 39216-4255 | 2016-04-06 |
| 1851620314 | Frank J Morgan Jr. | Preventive Medicine | 1200 Meadowbrook Rd, #25, Jackson, MS 39206-6109 | 2009-12-12 |
| 1548306525 | Charlotte Deniece Coleman | Preventive Medicine | 295 Summar Avenue, West Tennesse Regional Office, Jackson, TN 38301 | 2007-01-29 |
| 1801227723 | Kidz Fitness Station | Preventive Medicine | 2460 Terry Rd, Jackson, MS 39204-5767 | 2013-12-02 |
| 1821382235 | Courtland Keith Keteyian | Preventive Medicine | 205 N. East Avenue, Jackson, MI 49201 | 2011-06-02 |
| 1821252479 | Abedulnaasseer O. Mohammedelamien | Preventive Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2008-07-14 |
| 1821123670 | Paul E. Byers | Preventive Medicine | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 | 2007-02-22 |
| 1376685750 | Karen K Codjoe | Preventive Medicine | 295 Summar Ave, Jackson, TN 38301 | 2007-02-13 |
| 1235283623 | Shavetta D Conner | Preventive Medicine | 295 Summar Ave, Jackson, TN 38301 | 2007-01-22 |
| Find all providers in JACKSON | ||||
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| 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.