OrganizationJackson Healthcare For Women PaObstetrics & GynecologyAllopathic & Osteopathic PhysiciansPractice Address1047 N Flowood Dr, Jackson, MS 39232-9533(601) 932-4185PECOS EnrollmentBased on the most recent information from CMS, provider Jackson Healthcare For Women Pa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1902941768Provider TypeOrganizationFull NameJackson Healthcare For Women PaSubpartNoEnumeration Date2/20/2007Last Updated8/22/2020Contact InformationPractice LocationPractice Address1047 N Flowood Dr, Jackson, MS 39232-9533Phone(601) 932-4185Fax(601) 982-0219Mailing LocationMailing Address1047 N Flowood Dr, Jackson, MS 39232-9533Phone(601) 932-4185Fax(601) 982-0219Authorized OfficialNameCook, John W (President)Phone(601) 936-9415Provider TaxonomiesCodeDescriptionLicenseCode207V00000XPrimaryDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer