Clinton Healthcare Llc

LBN: Clinton Healthcare Llc
Clinton Healthcare Llc is an health care organization with primary practice located at 1251 Pinehaven Rd , Clinton MS 39056-3455. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Clinton Healthcare Llc can be contacted via phone (601) 924-2996, or through Ellis, Tina Louise via phone (601) 304-0980.

Contact Information

Primary practice address
1251 Pinehaven Rd Clinton MS 39056-3455
Phone: (601) 924-2996
Fax: (601) 924-6447
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Tina Louise
Phone: (601) 304-0980

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1134360753
LBN Legal business name Clinton Healthcare Llc
DBA Doing business as
Authorized official Ellis, Tina Louise
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2009
Last updated Mar 11th, 2009 - about 15 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 1134360753 NPPES
Mississippi MEDICAID 00230093

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