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PHS OF MICHIGAN PC
NPI 1265729883
Clinic/Center in Jackson, MI

Active since July 03, 2011
1780 E PARNALL RD, PARNALL CORRECTION FACILITY- MEDICAL CLINIC, JACKSON, MI 49201(517) 780-6393 Get Directions Write a Review

NPPES record last updated: July 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phs Of Michigan Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHS OF MICHIGAN PC (NPI 1265729883) is a healthcare organization registered as a clinic/center in Jackson, Michigan and active in the NPI registry since July 2011. The organization lists Erin Cody, State Medical Director, as its authorized official.

NPPES Registry Identity

NPI1265729883
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePHS OF MICHIGAN PC
Location Address1780 E PARNALL RD, PARNALL CORRECTION FACILITY- MEDICAL CLINICJackson, MI 49201-7136
Mailing Address6452 Millennium Ste 100Lansing, MI 48917-7881 · (800) 207-9419
Phone(517) 780-6393
Organization SubpartNo
Authorized OfficialErin CodyState Medical Director · (517) 827-3200
Enumeration DateJuly 3, 2011
✔ NPI 1265729883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in MI · 4301094288
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1780 E PARNALL RD, Jackson, MI 49201
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

XINLEI MILLER DMD
Dentist (General Practice)
1780 E PARNALL RD
JACKSON, MI 49201
Jackson County (517) 780-6729
SAJJAD HUSSAIN MD
Internal Medicine
1780 E PARNALL RD, PARNALL CORRECTION FACILITY - HEALTH CARE CENTER
JACKSON, MI 49201
Jackson County (517) 780-6393
NUMA P. CABRERA M.D.
Clinic/Center (Adult Mental Health)
1780 E PARNALL RD
JACKSON, MI 49201
Jackson County (517) 780-6722
MISS PRIMA MARDHATILLAH MUZIRMAN NP
Nurse Practitioner (Family)
1780 E PARNALL RD
JACKSON, MI 49201
Jackson County (517) 780-6004
MR. SHAWN ARCHIE ELLIS NP
Nurse Practitioner (Acute Care)
1780 E PARNALL RD
JACKSON, MI 49201
Jackson County (517) 780-6357

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phs Of Michigan PC's NPI number?

The NPI number for Phs Of Michigan PC is 1265729883. It was assigned to this organization in the NPPES registry on July 3, 2011.

Where is Phs Of Michigan PC located?

Phs Of Michigan PC is located at 1780 E Parnall Rd Parnall Correction Facility- Medical Clinic, Jackson, MI 49201. The listed phone number is (517) 780-6393.

What is Phs Of Michigan PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Phs Of Michigan PC was last updated on July 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.