Central Medical Clinic, P.A.

LBN: Central Medical Clinic, P.A.
Central Medical Clinic, P.A. is an health care organization with primary practice located at 1190 N State St Suite 201, Jackson MS 39202-2413. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Central Medical Clinic, P.A. can be contacted via phone (601) 352-7011, or through Delashmet, Gordon B via phone (601) 352-7011.

Contact Information

Primary practice address
1190 N State St Suite 201 Jackson MS 39202-2413
Phone: (601) 352-7011
Fax: (601) 352-3173
Website:
Map and Directions
Authorized official contact:
Name: Delashmet, Gordon B Doctor of Medicine (MD)
Phone: (601) 352-7011

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Mississippi

Profile Details

NPI number 1396806857
LBN Legal business name Central Medical Clinic, P.A.
DBA Doing business as
Authorized official Delashmet, Gordon B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated Dec 14th, 2007 - about 17 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 1396806857 NPPES
Mississippi MEDICAID 04200767

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