JACKSON FREE CLINIC
NPI 1851068324
Voluntary or Charitable in Jackson, MS
About Jackson Free Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON FREE CLINIC (NPI 1851068324), doing business as Jackson Free Clinic For The Homeless, is a healthcare organization registered as a voluntary or charitable in Jackson, Mississippi and active in the NPI registry since August 2021. The organization holds a CLIA Microscopy certificate valid through January 7, 2028 and lists Hali Peterson, Chair Of The Board, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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 for Provider-Performed Microscopy Procedures (PPMP) 25D0995019
Jackson Free Clinic For The Homeless · Jackson, MSOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jackson Free Clinic's NPI number?
The NPI number for Jackson Free Clinic is 1851068324. It was assigned to this organization in the NPPES registry on August 24, 2021. The provider was formerly known as Jackson Free Clinic For The Homeless.
Where is Jackson Free Clinic located?
Jackson Free Clinic is located at 925 Martin Luther King Jr Dr, Jackson, MS 39203. The listed phone number is (601) 355-5161.
What is Jackson Free Clinic's specialty?
The primary specialty registered for this NPI is Voluntary or Charitable with taxonomy code 251V00000X.
Does Jackson Free Clinic hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 25D0995019) is associated with this NPI, valid through January 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Jackson Free Clinic was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Free Clinic · NPI 1851068324
Voluntary or Charitable organization in Jackson, Mississippi. Organization record, active in the CMS NPPES registry since August 24, 2021.
## Identity
- **NPI:** 1851068324 (Entity type: Organization)
- **Enumerated:** August 24, 2021
- **Primary specialty:** Voluntary or Charitable · taxonomy 251V00000X
- **Organization subpart:** No
- **Authorized official:** Hali Peterson, CHAIR OF THE BOARD
## Practice location
- **Address:** 925 MARTIN LUTHER KING JR DR, Jackson, MS 39203-2233
- **Phone:** (601) 355-5161
## Record status
- **NPPES last updated:** June 21, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1851068324) · Data from the CMS NPPES public registry.