Organization Active NPI

Jackson Parish Hospital

  • General Practice Physician
  • Jonesboro, LA
National Provider Identifier
1215113014
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
JACKSON PARISH HOSPITAL
Practice address
165 Beech Springs Rd
Jonesboro, LA 71251-2013
Phone
(318) 259-4435
Fax
(318) 395-4291
NPI assigned
Jan 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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

Authorized official

Name
John Morgan
Title
Ceo
Phone
(318) 395-4223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

165 Beech Springs Rd
Jonesboro, LA 71251-2013

Mailing address

165 Beech Springs Rd
Jonesboro, LA 71251-2013
Phone (318) 259-4435

Other identifiers 1

IdentifierTypeStateIssuer
10236OtherLABLUE CROSS PROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Jackson Parish Home HLT7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1215113014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 BEECH SPRINGS RD",
            "city": "JONESBORO",
            "state": "LA",
            "postal_code": "712512013",
            "telephone_number": "318-259-4435",
            "fax_number": "318-395-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 BEECH SPRINGS RD",
            "city": "JONESBORO",
            "state": "LA",
            "postal_code": "712512013",
            "telephone_number": "318-259-4435",
            "fax_number": "318-395-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON PARISH HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-395-4223"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBER",
            "identifier": "10236",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.