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Jackson Vamc — NPI 1154784965, Jackson, MS | NPI Central

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NPI 1154784965

OrganizationActive

Jackson Vamc

NPI 1154784965 · Psychiatric Residential Treatment Facility · Jackson, MS

Provider details

NPI number: 1154784965
Entity type: Organization
Primary specialty: Psychiatric Residential Treatment FacilityResidential Treatment Facilities
Organization subpart: No
Authorized official: Erin Potter, Npi Team Member(202) 382-2579

Specialties & taxonomies

Psychiatric Residential Treatment FacilityPrimary323P00000X
Residential Treatment Facilities

Practice location

1500 Woodrow Wilson Ave

Jackson, MS 39216-5116

Phone: (615) 355-3451

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

Po Box 94497

Cleveland, OH 44101-4497

Other names (DBA / former)

Other name: Jackson Va Care Site

Registry dates

Enumerated: 2016-03-30
Last updated: 2017-10-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.