Hattiesburg Convalescent Center
LBN: Hattiesburg Convalescent Home, Inc.
Hattiesburg Convalescent Center is an health care organization with primary practice located at 514 Bay St , Hattiesburg MS 39401-3933. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Pharmacy Service Providers / Pharmacist is the primary health care specialty.
Hattiesburg Convalescent Home, Inc. can be contacted via phone (601) 544-4230, or through Mcmahan, Jewell C via phone (601) 544-4230.
Contact Information
Primary practice address
514 Bay St
Hattiesburg MS 39401-3933
Phone: (601) 544-4230
Fax: (601) 582-2480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 0017704.1 | Mississippi |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 25 | Mississippi |
Profile Details
| NPI number | 1366584708 |
|---|---|
| LBN Legal business name | Hattiesburg Convalescent Home, Inc. |
| DBA Doing business as | Hattiesburg Convalescent Center |
| Authorized official | Mcmahan, Jewell C |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Aug 22nd, 2020 - 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 | 1366584708 | NPPES |
| Mississippi | MEDICAID | 0023061 | |
| Mississippi | MEDICAID | 00036421 |
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