MID JACKSON FAMILY HEALTH CLINIC (NPI# 1952693848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952693848 |
| Entity Type | Organization |
| Organization Name | MID JACKSON FAMILY HEALTH CLINIC |
| Practice Address |
514 E Woodrow Wilson Ave # C Jackson MS 39216-4538 |
| Practice Telephone | 6019817198 |
| Mailing Telephone | 6019817198 |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2011-05-10 |
| Authorized Official Name | GLORIA AREGHAN (PHD,CFNP) |
| Authorized Official Telephone | 6018785115 |
| Authorized Official Credential | NURSE PRACTITION |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | R831972 | MS | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043503832 | Mid Jackson Family Health Clinic | Clinic/Center | 514c Woodrow Wilson Dr, Jackson, MS 39216 | 2011-05-26 |
| Street Address |
514 E WOODROW WILSON AVE # C |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306232632 | Jackson County Youth Center | Early Intervention Provider Agency | 930 Fleming Ave, Jackson, MI 49202-2534 | 2015-04-14 |
| 1043649668 | Cathlin Hayes | Early Intervention Provider Agency | 430 Briar Crest Dr, Jackson, MO 63755-1175 | 2013-11-04 |
| 1689957946 | Children's Learning Center | Early Intervention Provider Agency | 3105 Big Trail Dr., Jackson, WY 83001 | 2011-09-23 |
| 1508095480 | Trendline Consulting LLC | Early Intervention Provider Agency | 1061 Sierra Ct, Jackson, MO 63755-6100 | 2009-07-13 |
| 1578751723 | Mississippi Families for Kids | Early Intervention Provider Agency | 620 N State St, 304, Jackson, MS 39202-3305 | 2007-10-11 |
| 1881071355 | Jackson Hole Behavioral Services, LLC | Early Intervention Provider Agency | 310 E Broadway Ave, Jackson, WY 83001 | 2015-05-04 |
| 1003172149 | Communication Connects | Early Intervention Provider Agency | 225 Jasmine Dr, Jackson, MS 39212-3283 | 2012-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568904704 | Henderson Ward Stewart Elementary | Early Intervention Provider Agency | 200a Martin Luther King Jr Dr W, Starkville, MS 39759-2890 | 2016-11-04 |
| 1609240621 | Creative Occupational Therapy Soultions1074212 | Early Intervention Provider Agency | 103 Peninsula Dr, Leland, MS 38756-3019 | 2015-11-16 |
| 1962894014 | Lagrand Elliott | Early Intervention Provider Agency | 107 Meadow Pointe Cv, Brandon, MS 39042-5014 | 2015-02-26 |
| 1063754083 | Midsouth Therapy Solutions | Early Intervention Provider Agency | 3130 Mcingvale Rd, Hernando, MS 38632-8795 | 2013-03-18 |
| 1982902797 | Dra Health Services LLC | Early Intervention Provider Agency | 248 Woodland Brook Dr, Madison, MS 39110 | 2011-03-02 |
| 1164751079 | Picayune School District Early Head Start | Early Intervention Provider Agency | 1620 Rosa St, Picayune, MS 39466 | 2009-12-24 |
| 1518128925 | Ability LLC | Early Intervention Provider Agency | 285 Holmes Pittman Rd, Foxworth, MS 39483-3166 | 2008-06-18 |
| 1568644383 | Superior Home Care | Early Intervention Provider Agency | 130 County Road 2700, Shubuta, MS 39360-8600 | 2007-12-04 |
| 1952509580 | The University of Southern Mississippi | Early Intervention Provider Agency | 118 College Dr # 5163, Hattiesburg, MS 39406-0001 | 2007-07-05 |
| 1740524099 | South West Adult Day Care | Early Intervention Provider Agency | 5638 Terry Rd, Byram, MS 39272-9200 | 2012-11-26 |
| Find all providers with the same taxonomy | ||||
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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.