Jackson Surgical Associates. Pa

LBN: Jackson Surgical Associates. Pa
Jackson Surgical Associates. Pa is an health care organization with primary practice located at 395 Hospital Blvd , Jackson TN 38305-2080. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Jackson Surgical Associates. Pa can be contacted via phone (731) 664-7395, or through Webster, Sally via phone (731) 664-7395.

Contact Information

Primary practice address
395 Hospital Blvd Jackson TN 38305-2080
Phone: (731) 664-7395
Fax: (731) 664-0057
Website:
Map and Directions
Authorized official contact:
Name: Webster, Sally
Phone: (731) 664-7395

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 9997 Tennessee

Profile Details

NPI number 1932154713
LBN Legal business name Jackson Surgical Associates. Pa
DBA Doing business as
Authorized official Webster, Sally
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Oct 22nd, 2007 - about 19 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 1932154713 NPPES
Tennessee Other 107276 BLUE CROSS
Tennessee MEDICAID 3053968 BLUE CROSS
Tennessee Other 4005486 BLUE CROSS
Tennessee Other 1609871821 BLUE CROSS
Tennessee Other 1356346142 BLUE CROSS
Tennessee Other 3060477 BLUE CROSS
Tennessee Other 1376548503 BLUE CROSS
Tennessee MEDICAID 3089277 BLUE CROSS
Tennessee MEDICAID 3862742 BLUE CROSS

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