Clarksdale Phys Serv Er Physicians
LBN: Clarksdale Hma Llc
Clarksdale Phys Serv Er Physicians is an health care organization with primary practice located at 1970 Hospital Dr , Clarksdale MS 38614-7202. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty.
Clarksdale Hma Llc can be contacted via phone (662) 624-3401, or through Parry, Timothy via phone (239) 598-3176.
Contact Information
Primary practice address
1970 Hospital Dr
Clarksdale MS 38614-7202
Phone: (662) 624-3401
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ||
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X |
Profile Details
| NPI number | 1750316212 |
|---|---|
| LBN Legal business name | Clarksdale Hma Llc |
| DBA Doing business as | Clarksdale Phys Serv Er Physicians |
| Authorized official | Parry, Timothy ESQ |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Mar 22nd, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750316212 | NPPES |
| Mississippi | Other | 000019315 | BLUE CROSS |
| Mississippi | MEDICAID | 09014366 | BLUE CROSS |
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