ALTERNATIVES FOR LIFE TREATMENT & RECOVERY OF JACKSON LLC — NPI 1821248279 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in JACKSON, MS)

CMS-1500 Box 24J / 33a • NPI

1821248279

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QM2800X

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

5360 I 55 N STE 160, JACKSON, MS, 39211-4055

✓ 9-Digit EDI 837 ZIP+4 (39211-4055)

Practice Phone & Referral Fax

(601) 362-3131

Fax: (601) 362-3339

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1821248279 (ALTERNATIVES FOR LIFE TREATMENT & RECOVERY OF JACKSON LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1821248279` (NPI-2 Organization / Facility)
Provider / Legal Name	ALTERNATIVES FOR LIFE TREATMENT & RECOVERY OF JACKSON LLC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QM2800X` (Clinic/Center, Methadone Clinic)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	5360 I 55 N STE 160, JACKSON, MS, 39211-4055
Practice Telephone / Fax	Tel: (601) 362-3131 \| Fax: (601) 362-3339
Administrative Mailing Address	PO BOX 2344, MANDEVILLE, LA, 70470-2344
Enumeration & Last Sync	Enumerated: 2008-09-23 \| CMS Record Updated: 2021-06-17
Authorized Official	RUEBEN BIENVENU (Program Sponsor)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

5360 I 55 N STE 160, JACKSON, MS, 39211-4055

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Plain-English Taxonomy & CMS Crosswalk (261QM2800X)

What Does Taxonomy Code 261QM2800X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM2800X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALTERNATIVES FOR LIFE TREATMENT & RECOVERY OF JACKSON LLC)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261Q00000X` — Clinic/Center Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: MS \| License: `MS-10003-M` \| Primary: Secondary
`261QR0405X` — Clinic/Center, Rehabilitation, Substance Use Disorder Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM2800X` — Clinic/Center, Methadone Clinic Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ALTERNATIVES FOR LIFE TREATMENT & RECOVERY OF JACKSON LLC (NPI #1821248279)