Ambulatory Surgery Center

LBN: Hattiesburg Clinic Pa
Ambulatory Surgery Center is an health care organization with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Hattiesburg Clinic Pa can be contacted via phone (601) 579-5075, or through Batson, Bryan N via phone (601) 268-5601.

Contact Information

Primary practice address
415 S 28Th Ave Hattiesburg MS 39401-7246
Phone: (601) 579-5075
Fax: (601) 579-5039
Website:
Map and Directions
Authorized official contact:
Name: Batson, Bryan N Doctor of Medicine (MD)
Phone: (601) 268-5601

Health care specialties

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

Profile Details

NPI number 1093736795
LBN Legal business name Hattiesburg Clinic Pa
DBA Doing business as Ambulatory Surgery Center
Authorized official Batson, Bryan N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2006
Last updated Oct 7th, 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 1093736795 NPPES
Mississippi MEDICAID 00770554
Mississippi MEDICAID 1503916

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