14Th Medical Group
LBN: 14Th Medical Group
14Th Medical Group is an health care organization with primary practice located at 201 Independence Suite 101, Columbus MS 39710-5300. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient, Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure, Suppliers / Military/U.S. Coast Guard Pharmacy. Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient is the primary health care specialty.
14Th Medical Group can be contacted via phone (662) 434-2159, or through Mitchell, Theresa M. via phone (703) 681-7613.
Contact Information
Primary practice address
201 Independence Suite 101
Columbus MS 39710-5300
Phone: (662) 434-2159
Fax: (662) 434-2242
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient | 261QM1100X | ||
Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure | 261QM1101X | ||
Suppliers / Military/U.S. Coast Guard Pharmacy | 332000000X |
Profile Details
NPI number | 1487630356 |
---|---|
LBN Legal business name | 14Th Medical Group |
DBA Doing business as | |
Authorized official | Mitchell, Theresa M. |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 21st, 2005 |
Last updated | Aug 8th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487630356 | NPPES |
Mississippi | Other | 2520179 | NCPDP |
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