Provider Demographics
NPI:1558048637
Name:JS HEALTH SERVICES
Entity Type:Organization
Organization Name:JS HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:A
Authorized Official - Last Name:SOBAL
Authorized Official - Suffix:
Authorized Official - Credentials:NCIP
Authorized Official - Phone:435-459-9222
Mailing Address - Street 1:28362 ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:LACOMBE
Mailing Address - State:LA
Mailing Address - Zip Code:70445-2638
Mailing Address - Country:US
Mailing Address - Phone:844-623-7587
Mailing Address - Fax:
Practice Address - Street 1:28362 ISLAND DR
Practice Address - Street 2:
Practice Address - City:LACOMBE
Practice Address - State:LA
Practice Address - Zip Code:70445-2638
Practice Address - Country:US
Practice Address - Phone:844-623-7587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-30
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy