Cardiovascular Surgical Clinic Pa

LBN: Cardiovascular Surgical Clinic Pa
Cardiovascular Surgical Clinic Pa is an health care organization with primary practice located at 501 Marshall St Suite 100, Jackson MS 39202-1651. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty. Cardiovascular Surgical Clinic Pa can be contacted via phone (601) 948-1416, or through Hartman, Carol via phone (601) 948-1416.

Contact Information

Primary practice address
501 Marshall St Suite 100 Jackson MS 39202-1651
Phone: (601) 948-1416
Fax: (601) 353-9417
Website:
Map and Directions
Authorized official contact:
Name: Hartman, Carol
Phone: (601) 948-1416

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X

Profile Details

NPI number 1912058538
LBN Legal business name Cardiovascular Surgical Clinic Pa
DBA Doing business as
Authorized official Hartman, Carol
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1912058538 NPPES
Mississippi MEDICAID 09011173

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