Crystalcare

LBN: Crystalcare
Crystalcare is an health care organization with primary practice located at 3124 N Shiloh Road , Corinth MS 38834. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Crystalcare can be contacted via phone (901) 292-2964, or through Wilson, Crystal Rose via phone (901) 292-2964.

Contact Information

Primary practice address
3124 N Shiloh Road Corinth MS 38834
Phone: (901) 292-2964
Fax: (662) 762-0690
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Crystal Rose Nurse Practitioner (NP)
Phone: (901) 292-2964

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1477176824
LBN Legal business name Crystalcare
DBA Doing business as
Authorized official Wilson, Crystal Rose Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2020
Last updated Nov 18th, 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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