4D Healthcare, Llc

LBN: 4D Healthcare, Llc
4D Healthcare, Llc is an health care organization with primary practice located at 1324 Military Rd , Columbus MS 39701-3616. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. 4D Healthcare, Llc can be contacted via phone (662) 630-5001, or through Cockrell, Tanya S via phone (662) 630-5001.

Contact Information

Primary practice address
1324 Military Rd Columbus MS 39701-3616
Phone: (662) 630-5001
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cockrell, Tanya S FNP-BC, PMHNP-BC
Phone: (662) 630-5001

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1164129755
LBN Legal business name 4D Healthcare, Llc
DBA Doing business as
Authorized official Cockrell, Tanya S FNP-BC, PMHNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2023
Last updated Feb 14th, 2023 - about 2 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.

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