Brookhaven Medical Center

LBN: Brookhaven Medical Center
Brookhaven Medical Center is an health care organization with primary practice located at 785 Ohio Ave 2D, Clarksdale MS 38614-6217. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Brookhaven Medical Center can be contacted via phone (662) 624-5565, or through Brooks, Deborah via phone (662) 624-5565.

Contact Information

Primary practice address
785 Ohio Ave 2D Clarksdale MS 38614-6217
Phone: (662) 624-5565
Fax: (662) 624-9971
Website:
Map and Directions
Authorized official contact:
Name: Brooks, Deborah Doctor of Medicine (MD)
Phone: (662) 624-5565

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X

Profile Details

NPI number 1972639060
LBN Legal business name Brookhaven Medical Center
DBA Doing business as
Authorized official Brooks, Deborah Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Aug 22nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972639060 NPPES
Mississippi MEDICAID 00576075

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