Jackson Park Physicians, Pc

LBN: Jackson Park Physicians, Pc
Jackson Park Physicians, Pc is an health care organization with primary practice located at 1124 Medical Place , Seymour IN 47274. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Jackson Park Physicians, Pc can be contacted via phone (812) 522-1613, or through Gillaspy, Kelley M via phone (812) 522-1613.

Contact Information

Primary practice address
1124 Medical Place Seymour IN 47274
Phone: (812) 522-1613
Fax: (812) 522-6694
Website:
Map and Directions
Authorized official contact:
Name: Gillaspy, Kelley M
Phone: (812) 522-1613

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 50000714A Indiana

Profile Details

NPI number 1346388576
LBN Legal business name Jackson Park Physicians, Pc
DBA Doing business as
Authorized official Gillaspy, Kelley M
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2007
Last updated Jun 25th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346388576 NPPES
Indiana MEDICAID 100141330

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