Occupational Health Program of Jackson
Occupational Health Program of Jackson is a healthcare organization registered as Family Medicine Physician in Jackson, MI, holding Type 2 (organization) NPI 1205039021 since 2007. The authorized official on file is Tracy Stump, Medical Biller.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205039021 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Occupational Health Program of Jackson |
| Practice address | 500 LANSING AVE, Jackson, MI, 49201 |
| Phone | 5177876907 |
| Enumeration date | 2007-06-08 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Tracy Stump |
|---|---|
| Title | Medical Biller |
| Phone | 5177876907 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | DM041794 | MI |
Copy-ready billing details
Provider: Occupational Health Program of Jackson NPI: 1205039021 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 500 LANSING AVE, Jackson, MI, 49201
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1518089127 | David B. Munro Mdpc | Organization | Family Medicine Physician | Jackson, MI |
Verify this record
Cross-check NPI 1205039021 against the authoritative CMS record: view Occupational Health Program of Jackson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Occupational Health Program of Jackson?
What is the NPI number for Occupational Health Program of Jackson?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.