Imani Community Outreach Ctr Inc

LBN: Imani Community Outreach Ctr Inc
Imani Community Outreach Ctr Inc is an health care organization with primary practice located at 301 E Jefferson St , Kosciusko MS 39090-3719. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Imani Community Outreach Ctr Inc can be contacted via phone (662) 289-7676, or through Duncan, Tricia via phone (601) 878-6945.

Contact Information

Primary practice address
301 E Jefferson St Kosciusko MS 39090-3719
Phone: (662) 289-7676
Fax: (662) 289-7678
Website:
Map and Directions
Authorized official contact:
Name: Duncan, Tricia
Phone: (601) 878-6945

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X Mississippi

Profile Details

NPI number 1912264250
LBN Legal business name Imani Community Outreach Ctr Inc
DBA Doing business as
Authorized official Duncan, Tricia
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2012
Last updated Apr 11th, 2012 - about 12 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 1912264250 NPPES
Mississippi MEDICAID 00686258
Mississippi MEDICAID 09950749
Mississippi MEDICAID 00500750

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