Fountains Specialty Surgical Center

LBN: Comprehensive Pain Center For Surgery
Fountains Specialty Surgical Center is an health care organization with primary practice located at 129 Fountains Blvd. , Madison MS 39110. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Comprehensive Pain Center For Surgery can be contacted via phone (769) 300-0720, or through Vance, Leonel K via phone (769) 300-0720.

Contact Information

Primary practice address
129 Fountains Blvd. Madison MS 39110
Phone: (769) 300-0720
Fax: (769) 300-0721
Website:
Map and Directions
Authorized official contact:
Name: Vance, Leonel K Doctor of Medicine (MD)
Phone: (769) 300-0720

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X Mississippi

Profile Details

NPI number 1487094058
LBN Legal business name Comprehensive Pain Center For Surgery
DBA Doing business as Fountains Specialty Surgical Center
Authorized official Vance, Leonel K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2013
Last updated Oct 25th, 2021 - 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 1487094058 NPPES
Mississippi MEDICAID 1525725

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