Organization Active NPI

Quality Health Care Services, PA

  • Primary Care Clinic/Center
  • Jackson, MS
National Provider Identifier
1528475563
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
R861956 Issued in MS
Legal business name
QUALITY HEALTH CARE SERVICES, PA
Practice address
4510 Hanging Moss Rd
Jackson, MS 39206-3962
Phone
(769) 572-5280
Fax
(769) 572-5250
NPI assigned
Jul 22, 2014
Last updated
Jul 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Authorized official

Name
Dr. Geraldine Q. Young, DNP, FNP-BC
Title
President
Phone
(769) 572-5280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X R861956 MS Primary

Addresses

Primary practice location

4510 Hanging Moss Rd
Jackson, MS 39206-3962

Mailing address

PO Box 83081
Jackson, MS 39283-3081
Phone (769) 572-5280

National Provider Directory

National Provider Directory

Locations

717 E Fortification St
Jackson, MS 39202
Phone (769) 572-4009

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1528475563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83081",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392833081",
            "telephone_number": "769-572-5280",
            "fax_number": "769-572-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 HANGING MOSS RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063962",
            "telephone_number": "769-572-5280",
            "fax_number": "769-572-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY HEALTH CARE SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_middle_name": "Q.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "769-572-5280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MS",
            "license": "R861956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 22, 2014; 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.