Diamond Grove Center
LBN: Diamond Grove Center
Diamond Grove Center is an health care organization with primary practice located at 2311 Highway 15 S , Louisville MS 39339-7071. The organization recently has only one registered license in Suppliers / Institutional Pharmacy, which is considered as the primary health care specialty.
Diamond Grove Center can be contacted via phone (662) 779-0119, or through Swoopes, Patrick via phone (662) 779-0119.
Contact Information
Primary practice address
2311 Highway 15 S
Louisville MS 39339-7071
Phone: (662) 779-0119
Fax: (662) 779-0126
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Institutional Pharmacy | 3336I0012X | 03665 | Mississippi |
Profile Details
NPI number | 1619000593 |
---|---|
LBN Legal business name | Diamond Grove Center |
DBA Doing business as | |
Authorized official | Swoopes, Patrick |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 13th, 2007 |
Last updated | Dec 13th, 2007 - about 17 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 | 1619000593 | NPPES |
Mississippi | Other | 00020375 | BLUE CROSS PROVIDER # |
Mississippi | Other | 00330450 | BLUE CROSS PROVIDER # |
Mississippi | MEDICAID | 00220411 | BLUE CROSS PROVIDER # |
Mississippi | MEDICAID | 00220801 | BLUE CROSS PROVIDER # |
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