Foundation Internal Medicine, P.C.
LBN: Foundation Internal Medicine, P.C.
Foundation Internal Medicine, P.C. is an health care organization with primary practice located at 401 Southcrest Cir Suite 207, Southaven MS 38671-6726. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Medical Specialty, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Foundation Internal Medicine, P.C. can be contacted via phone (662) 349-9292, or through Edmunds, Kenneth Osita via phone (662) 349-9292.
Contact Information
Primary practice address
401 Southcrest Cir Suite 207
Southaven MS 38671-6726
Phone: (662) 349-9292
Fax: (662) 349-8603
Website:
Authorized official contact:
Name: Edmunds, Kenneth Osita Doctor of Medicine (MD)
Phone: (662) 349-9292
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | 14060 | Mississippi |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 14060 | Mississippi |
Profile Details
| NPI number | 1255531885 |
|---|---|
| LBN Legal business name | Foundation Internal Medicine, P.C. |
| DBA Doing business as | |
| Authorized official | Edmunds, Kenneth Osita Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 22nd, 2007 |
| Last updated | Jul 22nd, 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 | 1255531885 | NPPES |
| Mississippi | MEDICAID | 09015617 |
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