Burrell Independent Contracting Service

LBN: Burrell Independent Contracting Service
Burrell Independent Contracting Service is an health care organization with primary practice located at 1515 Munsford Dr , New Albany MS 38652-7407. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Burrell Independent Contracting Service can be contacted via phone (662) 534-0046, or through Burrell, James Larry via phone (662) 419-9150.

Contact Information

Primary practice address
1515 Munsford Dr New Albany MS 38652-7407
Phone: (662) 534-0046
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Burrell, James Larry Nurse Practitioner (NP)
Phone: (662) 419-9150

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1740916865
LBN Legal business name Burrell Independent Contracting Service
DBA Doing business as
Authorized official Burrell, James Larry Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2022
Last updated Jul 29th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740916865 NPPES
Mississippi MEDICAID 03906898

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