Active NPI
AIDS Health Foundation
Doing business as AHF Mobile
- Clinic/Center
- Jackson, MS
National Provider Identifier
1548772593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- AIDS HEALTH FOUNDATION
- Doing business as
- AHF Mobile
- Practice address
- 766 Lakeland Dr
Jackson, MS 39216-4610 - Phone
- (601) 368-3440
- NPI assigned
- Oct 31, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna Stidham
- Title
- Chief, Managed Care
- Phone
- (323) 436-5019
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
766 Lakeland Dr
Jackson, MS 39216-4610
Mailing address
8390 Champions Gate Blvd Ste 215
Champions Gate, FL 33896-8310
Phone (321) 401-1364
Other names 1
- AHF Mobile
National Provider Directory
National Provider Directory- Tax ID family
- AIDS Health Foundation
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Clinic/Center
- Jackson, MS
- NPI 1407311772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1509408000000",
"number": "1548772593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8390 CHAMPIONS GATE BLVD STE 215",
"city": "CHAMPIONS GATE",
"state": "FL",
"postal_code": "338968310",
"telephone_number": "321-401-1364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "766 LAKELAND DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164610",
"telephone_number": "601-368-3440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIDS HEALTH FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-31",
"last_updated": "2017-10-31",
"status": "A",
"authorized_official_last_name": "STIDHAM",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "CHIEF, MANAGED CARE",
"authorized_official_telephone_number": "323-436-5019"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AHF Mobile",
"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 Oct 31, 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.