Crystal Springs Clinic
LBN: Copiah County Medical Center
Crystal Springs Clinic is an health care organization with primary practice located at 123 Bo Bo Dr , Crystal Springs MS 39059. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Copiah County Medical Center can be contacted via phone (601) 892-1456, or through Gaddy, Kortney M. via phone (601) 574-7200.
Contact Information
Primary practice address
123 Bo Bo Dr
Crystal Springs MS 39059
Phone: (601) 892-1456
Fax: (601) 892-1456
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Mississippi |
Profile Details
| NPI number | 1972603819 |
|---|---|
| LBN Legal business name | Copiah County Medical Center |
| DBA Doing business as | Crystal Springs Clinic |
| Authorized official | Gaddy, Kortney M. |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Sep 22nd, 2022 - about 2 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 | 1972603819 | NPPES |
| Mississippi | MEDICAID | 09014049 | |
| Mississippi | MEDICAID | 00116996 | |
| Mississippi | MEDICAID | 00012939 | |
| Mississippi | MEDICAID | 00015329 | |
| Mississippi | MEDICAID | 00011981 | |
| Mississippi | MEDICAID | 00113908 | |
| Mississippi | MEDICAID | 00119484 | |
| Mississippi | MEDICAID | 00122024 |
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