Jack City, Llc

  • 1376002931 NPI Number
  • |
  • Actived: 5 years ago
  • |
Jack City, Llc is a health care provider based in Watertown, MA. The NPI Number is 1376002931 and it has been active since 5 years ago. The specialty is Surgical, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Surgical services, Jack City, Llc is an excellent option. We are here to help you get the care you need.

Recently Active NPIs

Overview of Jack City, Llc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 03/13/2019
  • Last updated: 01/23/2020

Primary Scrop of Practice

  • Taxonomy Code: 363AS0400X
  • Specialty: Surgical
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 290 Pleasant St Apt 212
    Watertown, MA 02472
  • Phone: 617-393-1709
  • Fax: 617-754-6420

Provider Practice Location

  • Address: 290 Pleasant St Apt 212
    Watertown, MA 02472
  • Phone: 617-393-1709
  • Fax: 617-754-6420

Authorized Official

  • Name: Codey D Gillum PA-C
  • Position/Title: Ceo
  • Telephone Number: 617-393-1709

Scope of Practice

  • Taxonomy Code: 332B00000X
  • Specialty: Durable Medical Equipment & Medical Supplies
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jack City, Llc?
  • A: The npi number for Jack City, Llc is 1376002931.
  • Q: What are Jack City, Llc's specialties?
  • A: Jack City, Llc's specialties are Surgical and different specialities.
  • Q: Where is Jack City, Llc business practice location?
  • A: Jack City, Llc business practice location is 290 Pleasant St Apt 212, Watertown, MA 02472.
  • Q: How to contact Jack City, Llc?
  • A: You can contact Jack City, Llc via 617-393-1709.
  • Q: What is the authorized official for Jack City, Llc?
  • A: The authorized office name is Codey D Gillum PA-C with position/title is Ceo and you can reach the authorized official via phone number 6173931709.
Medicare Specialty
View all Specialties
© 2019 MDNPI.com - { Medical NPI }
Content provided by MDNPI.com mainly comes from the Centers for Medicare & Medicaid Services (CMS) published data, and the FOIA-disclosable NPPES health care provider data file.