JABBOK TREATMENT CENTER, LLC.
NPI 1740639962
Family Medicine - Addiction Medicine in Savannah, TN

Active since June 08, 2016
40 IRWIN ST, SAVANNAH, TN 38372(731) 727-5603(731) 925-2114 Get Directions Write a Review

NPPES record last updated: June 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jabbok Treatment Center, Llc. NPPES

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

JABBOK TREATMENT CENTER, LLC. (NPI 1740639962) is a healthcare organization registered as an addiction medicine in Savannah, Tennessee and active in the NPI registry since June 2016. The organization lists Jacqueline D Irwin, Owner/coo, as its authorized official.

NPPES Registry Identity

NPI1740639962
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameJABBOK TREATMENT CENTER, LLC.
Location Address40 IRWIN STSavannah, TN 38372-3084
Mailing Address40 Irwin StSavannah, TN 38372-3084 · (731) 727-5603 · Fax (731) 925-2114
Fax(731) 925-2114
Organization SubpartNo
Authorized OfficialJacqueline D IrwinOwner/coo · 77316167753
Enumeration DateJune 8, 2016
NPI 1740639962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License Licensed in TN · 207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
40 IRWIN ST, Savannah, TN 38372

Other Identifiers 2

Medicaid1521170TN
Medicaid02000211TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jabbok Treatment Center, LLC.'s NPI number?

The NPI number for Jabbok Treatment Center, LLC. is 1740639962. It was assigned to this organization in the NPPES registry on June 8, 2016.

Where is Jabbok Treatment Center, LLC. located?

Jabbok Treatment Center, LLC. is located at 40 Irwin St, Savannah, TN 38372. The listed phone number is (731) 727-5603.

What is Jabbok Treatment Center, LLC.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Jabbok Treatment Center, LLC. was last updated on June 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.