JACKSON HEALTH AND WELLNESS CENTER
NPI 1376964379
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Vicksburg, MS
About Jackson Health And Wellness Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON HEALTH AND WELLNESS CENTER (NPI 1376964379) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Vicksburg, Mississippi and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through September 21, 2026 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D2013615
Healthstat Onsite Clinic - Unified Brands · Vicksburg, MSFrequently 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 Healthstat On-Site Clinic/Unified Brands Jackson's NPI number?
The NPI number for Healthstat On-Site Clinic/Unified Brands Jackson is 1376964379. It was assigned to this organization in the NPPES registry on December 18, 2013. The provider is doing business as Jackson Health And Wellness Center.
Where is Healthstat On-Site Clinic/Unified Brands Jackson located?
Healthstat On-Site Clinic/Unified Brands Jackson is located at 88 Armory Rd, Vicksburg, MS 39183. The listed phone number is (989) 644-3331.
What is Healthstat On-Site Clinic/Unified Brands Jackson's specialty?
The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.
Does Healthstat On-Site Clinic/Unified Brands Jackson hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2013615) is associated with this NPI, valid through September 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Healthstat On-Site Clinic/Unified Brands Jackson was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jackson Health And Wellness Center · NPI 1376964379
Preventive Medicine/Occupational Environmental Medicine organization in Vicksburg, Mississippi. Organization record, active in the CMS NPPES registry since December 18, 2013.
## Identity
- **NPI:** 1376964379 (Entity type: Organization)
- **Enumerated:** December 18, 2013
- **Primary specialty:** Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine · taxonomy 2083P0500X
- **Legal business name:** Healthstat On-Site Clinic/unified Brands Jackson
- **Organization subpart:** No
- **Authorized official:** Jill Patton, DIRECTOR OF RISK MANAGEMENT
## Practice location
- **Address:** 88 ARMORY RD, Vicksburg, MS 39183-7431
- **Phone:** (989) 644-3331
## Record status
- **NPPES last updated:** April 27, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1376964379) · Data from the CMS NPPES public registry.