Fitness Clinic

LBN: Fitness Clinic
Fitness Clinic is an health care organization with primary practice located at 2219 Greenway Dr , Jackson MS 39204-3202. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Fitness Clinic can be contacted via phone (601) 983-7494, or through Broadwater, Barbara Marie via phone (601) 983-7494.

Contact Information

Primary practice address
2219 Greenway Dr Jackson MS 39204-3202
Phone: (601) 983-7494
Fax: (601) 371-3993
Website:
Map and Directions
Authorized official contact:
Name: Broadwater, Barbara Marie
Phone: (601) 983-7494

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1497027775
LBN Legal business name Fitness Clinic
DBA Doing business as
Authorized official Broadwater, Barbara Marie
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2012
Last updated Feb 2nd, 2012 - about 13 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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