Children'S Clinic Of Tupelo, Pa

LBN: Children'S Clinic Of Tupelo, Pa
Children'S Clinic Of Tupelo, Pa is an health care organization with primary practice located at 458 E President Ave , Tupelo MS 38801-5515. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Children'S Clinic Of Tupelo, Pa can be contacted via phone (662) 842-6088, or through Sheffield, Mary Ann via phone (662) 842-6088.

Contact Information

Primary practice address
458 E President Ave Tupelo MS 38801-5515
Phone: (662) 842-6088
Fax: (662) 842-3229
Website:
Map and Directions
Authorized official contact:
Name: Sheffield, Mary Ann
Phone: (662) 842-6088

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1275597544
LBN Legal business name Children'S Clinic Of Tupelo, Pa
DBA Doing business as
Authorized official Sheffield, Mary Ann
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2006
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 1275597544 NPPES
Mississippi MEDICAID 02782773

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