VA Jackson

Primary specialty

Military HospitalTaxonomy code 286500000X

Legal business name

VA JACKSON

Practice address

1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116

Phone

(601) 364-1359

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

William Tidwell

Title

Radiology

Phone

(601) 898-4777

Specialties & licenses 1

Addresses

Tax ID family

Community Care Services456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 3

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Andre Curry

  • Home Health Agency
  • Ridgeland, MS
  • NPI 1861857591
  NPD tax ID
• Orenthal James Carter

  • Pharmacy
  • Natchez, MS
  • NPI 1124344056
  NPD tax ID
• Sarah Mitchell

  • Primary Care Clinic/Center
  • Biloxi, MS
  • NPI 1720443351
  NPD tax ID

Locations

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1265508287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 FRENCH BR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E WOODROW WILSON AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165116",
            "telephone_number": "601-364-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA JACKSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "TIDWELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "RADIOLOGY",
        "authorized_official_telephone_number": "601-898-4777"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan Michael Usry
• Brice Kenneth Utley
• V a South
• V.a. Medical Center
• V.K. Johnson, LCSW & Consultants, LLC
• Soheil Vahdani, DDS
• Pradeep Kumar Vaitla, MD
• Daniel Valente, M.D.
• Amy Elizabeth Valentine, AGACNP-BC
• Anna Valentine, APRN

• Military Hospital in Jackson, MS
• Providers in Jackson, MS by specialty
• Military Hospital in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.