Charles W Campbell Md Pa

LBN: Charles W Campbell Md Pa
Charles W Campbell Md Pa is an health care organization with primary practice located at 102 Carrollton Ave , Lexington MS 39095-3250. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Charles W Campbell Md Pa can be contacted via phone (662) 834-1721, or through Campbell, Charles W via phone (662) 834-1722.

Contact Information

Primary practice address
102 Carrollton Ave Lexington MS 39095-3250
Phone: (662) 834-1721
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Campbell, Charles W Doctor of Medicine (MD)
Phone: (662) 834-1722

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 04488 Mississippi

Profile Details

NPI number 1891907440
LBN Legal business name Charles W Campbell Md Pa
DBA Doing business as
Authorized official Campbell, Charles W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2007
Last updated Jun 25th, 2015 - about 9 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 1891907440 NPPES
Mississippi MEDICAID 09014433
Mississippi MEDICAID 02187313

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