Mr. Richard A Jackson, HS
Technician, Other in Otis Angb, Massachusetts
1952386690- Practice location
- Kaehler Memorial Medical Clinic, US Coast Guard, Otis Angb, MA 02542
- Phone
- 508-968-6713
- Fax
- —
- Last updated
- July 13, 2026
Richard Allen Jackson is a Technician, Other based in Otis Angb, MA. Richard Allen Jackson practices in Otis Angb, MA and has the professional credentials of HS. The NPI Number for Richard Allen Jackson is 1952386690 and holds a License No. B0415118 (CA). The current practice location address for Richard Allen Jackson is Kaehler Memorial Medical Clinic, US Coast Guard, Otis Angb, MA 02542 and can be reached out via phone at 508-968-6713.
Provider Profile Details
- NPI Number
- 1952386690
- Provider Name
- Richard Allen Jackson
- Credential
- HS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- Kaehler Memorial Medical Clinic, US Coast Guard, Otis Angb, MA 02542
- Phone Number
- 508-968-6713
- Primary Taxonomy
- Technician, Other · 247200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 14, 2005
- Last Update Date
- July 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Kaehler Memorial Medical Clinic
US Coast Guard
Otis Angb, MA 02542 - City
- Otis Angb
- State
- Massachusetts
- Zip
- 02542
- Phone Number
- 508-968-6713
Provider Business Mailing Address Details
- Address
- 5690 Peets St
Otis Angb, MA 02542-1030 - City
- Otis Angb
- State
- MA
- Zip
- 02542-1030
- Phone Number
- 503-504-6492
License Information
- License Number (1)
- B0415118
- License State (1)
- CA
- Taxonomy (1)
- Emergency Medical Technician, Basic · 146N00000X
- Taxonomy (2)
- Technician, Other · 247200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Technician, Others near Otis Angb, MA
View all Technician, Others in Otis Angb →Frequently Asked Questions
What is the NPI number of Mr. Richard A Jackson, HS?
The NPI number of Mr. Richard A Jackson, HS is 1952386690. It was assigned on December 14, 2005 and is currently active in the NPPES registry.
What is the specialty of Mr. Richard A Jackson, HS?
Mr. Richard A Jackson, HS is registered under the primary taxonomy Technician, Other (code 247200000X), licensed in CA under license number B0415118.
Where does Mr. Richard A Jackson, HS practice?
The practice location is Kaehler Memorial Medical Clinic, US Coast Guard, Otis Angb, MA 02542. The office can be reached at 508-968-6713 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952386690 directly on the NPPES registry website.