Hattiesburg Clinic West
LBN: Hattiesburg Clinic Pa
Hattiesburg Clinic West is an health care organization with primary practice located at 104 Millsaps Dr , Hattiesburg MS 39402-1328. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Hattiesburg Clinic Pa can be contacted via phone (601) 288-7500, or through Batson, Bryan N via phone (601) 264-6000.
Contact Information
Primary practice address
104 Millsaps Dr
Hattiesburg MS 39402-1328
Phone: (601) 288-7500
Fax: (601) 268-5179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X |
Profile Details
| NPI number | 1366539678 |
|---|---|
| LBN Legal business name | Hattiesburg Clinic Pa |
| DBA Doing business as | Hattiesburg Clinic West |
| Authorized official | Batson, Bryan N |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Feb 18th, 2021 - about 4 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 | 1366539678 | NPPES |
| Mississippi | MEDICAID | 02071733 |
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