OrganizationActive
Jackson Va Medical Center
NPI 1285716928 · Substance Abuse Rehabilitation Facility · Jackson, MS
Provider details
- NPI number
- 1285716928
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Richard Baltz, Center Director(601) 364-1359
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Phone: (601) 362-4471
Fax: (601) 364-1298
Approximate (ZIP-level) locationGet directions
Mailing address
1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Registry dates
- Enumerated
- 2006-10-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.