National Women'S Health Organization of Jackson, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

005 Issued in MS

Legal business name

NATIONAL WOMEN'S HEALTH ORGANIZATION OF JACKSON, INC.

Doing business as

JACKSON WOMEN'S HEALTH ORGANIZATION, INC.

Practice address

2903 N State St
Jackson, MS 39216-4202

Phone

(601) 366-2261

Fax

(601) 362-5973

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Susan Hill

Title

President

Phone

(919) 783-0444

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JACKSON WOMEN'S HEALTH ORGANIZATION, INC. Doing business as

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1811075815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 HAWORTH DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097218",
            "telephone_number": "919-783-0444",
            "fax_number": "919-785-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164202",
            "telephone_number": "601-366-2261",
            "fax_number": "601-362-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL WOMEN'S HEALTH ORGANIZATION OF JACKSON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-783-0444",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MS",
            "license": "005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BUSINESS LICENSE",
            "identifier": "005",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JACKSON WOMEN'S HEALTH ORGANIZATION, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Jackson, MS
• Providers in Jackson, MS by specialty
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.