NPIMap

Organization Active NPI

University Nursing Associates, PLLC

  • Primary Care Clinic/Center
  • Jackson, MS
National Provider Identifier
1124281597
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
UNIVERSITY NURSING ASSOCIATES, PLLC
Practice address
146 E Ash St
Jackson, MS 39202-2217
Phone
(601) 984-6271
Fax
(601) 815-4119
NPI assigned
Jul 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kim Hoover, PH.D
Title
Managing Member
Phone
(601) 984-6270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

146 E Ash St
Jackson, MS 39202-2217

Mailing address

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-6270

Other identifiers 1

IdentifierTypeStateIssuer
05074319MedicaidMS

Other names 1

  • Brown Elementary School Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brown Elementary School Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1124281597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-6270",
            "fax_number": "601-984-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 E ASH ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022217",
            "telephone_number": "601-984-6271",
            "fax_number": "601-815-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY NURSING ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "601-984-6270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05074319",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brown Elementary School Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.