Flowood Vascular Access Asc Llc

LBN: Flowood Vascular Access Asc Llc
Flowood Vascular Access Asc Llc is an health care organization with primary practice located at 1010 Lakeland Square Ext Suite B, Flowood MS 39232-7607. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Flowood Vascular Access Asc Llc can be contacted via phone (601) 709-8800, or through Miller, Gregg via phone (718) 369-1444.

Contact Information

Primary practice address
1010 Lakeland Square Ext Suite B Flowood MS 39232-7607
Phone: (601) 709-8800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miller, Gregg Doctor of Medicine (MD)
Phone: (718) 369-1444

Health care specialties

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

Profile Details

NPI number 1710425913
LBN Legal business name Flowood Vascular Access Asc Llc
DBA Doing business as
Authorized official Miller, Gregg Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2017
Last updated Dec 30th, 2020 - about 6 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 1710425913 NPPES
Mississippi MEDICAID 02558295

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