Pine Grove Behavioral Health
LBN: Health Facility Laboratory
Pine Grove Behavioral Health is an health care organization with primary practice located at 300 Fairway Dr , Hattiesburg MS 39401-7715. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Transportation Services / Private Vehicle, Transportation Services / Train. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Health Facility Laboratory can be contacted via phone (601) 329-1321, or through Parker, Jacob via phone (601) 329-1321.
Contact Information
Primary practice address
300 Fairway Dr
Hattiesburg MS 39401-7715
Phone: (601) 329-1321
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Transportation Services / Private Vehicle | 347C00000X | ||
| Transportation Services / Train | 347D00000X |
Profile Details
| NPI number | 1699366542 |
|---|---|
| LBN Legal business name | Health Facility Laboratory |
| DBA Doing business as | Pine Grove Behavioral Health |
| Authorized official | Parker, Jacob Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 2nd, 2021 |
| Last updated | May 6th, 2024 - about 6 months 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 | 1699366542 | NPPES |
| Mississippi | Other | MS0800375 | LABORATORY |
| Mississippi | Other | MS0800375 | LABORATORY |
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