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Orlan Jackson (D.O.)

Mr. Orlan Jackson (D.O.) is a health care provider specializes in Family Medicine. He is associated with medical group practice COAL COUNTRY COMMUNITY HEALTH CENTER and is affiliated with 3 hospitals as shown below.

profile-icon Basic Information

Practice Location 1312 Highway 49 N, Beulah, ND 58523-6038, US
Practice Location Phone701-873-4445
Practice Location Fax701-873-4199
GenderMale
Specialty InFamily Medicine
Medical SchoolUniversity Of Osteopathic Medicine And Health Sciences
Graduation Year1987
NPI ?1184602666
PECOS ID9739085663
Enrollment IDI20031210000878
Entity TypeIndividual
Enumeration Date ? Jan 5, 2006
Last Update Date ? Oct 24, 2017
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Orlan Jackson

SpecialtySpecializationLicenseLicense State
Family Medicine ND5650North Dakota

Medicare-icon Medicare Participation of Orlan Jackson

Accepts Medicare Assignment
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Orlan Jackson

Medical Group PracticeCoal Country Community Health Center
Affiliation 1 Sakakawea Medical Center - Cah
Affiliation 2 Sanford Medical Center Bismarck
Affiliation 3 St Alexius Medical Center

legacy-id-icon Legacy Provider IDs of Orlan Jackson

Provider IdIssuer StateIssuer TypeIssuer
13470North DakotaMedicaid
27705North DakotaOtherBLUE CROSS BLUE SHIELD ND