Hattiesburg Va Clinic

LBN: Jackson Vamc
Hattiesburg Va Clinic is an health care organization with primary practice located at 5003 Hardy Street Tower B Suite 402, Hattiesburg MS 39402-1331. The organization recently has only one registered license in Ambulatory Health Care Facilities / VA, which is considered as the primary health care specialty. Jackson Vamc can be contacted via phone (615) 355-3451, or through Potter, Erin via phone (202) 382-2579.

Contact Information

Primary practice address
5003 Hardy Street Tower B Suite 402 Hattiesburg MS 39402-1331
Phone: (615) 355-3451
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Potter, Erin
Phone: (202) 382-2579

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / VA 261QV0200X

Profile Details

NPI number 1376598698
LBN Legal business name Jackson Vamc
DBA Doing business as Hattiesburg Va Clinic
Authorized official Potter, Erin
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2006
Last updated Oct 4th, 2017 - about 7 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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