Journeypure Mississippi Medical Group Llc

LBN: Journeypure Mississippi Medical Group Llc
Journeypure Mississippi Medical Group Llc is an health care organization with primary practice located at 8829 Centre St , Southaven MS 38671-2610. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. Journeypure Mississippi Medical Group Llc can be contacted via phone (662) 536-6542, or through Cooper, Kim via phone (662) 536-6542.

Contact Information

Primary practice address
8829 Centre St Southaven MS 38671-2610
Phone: (662) 536-6542
Fax: (662) 314-9689
Website:
Map and Directions
Authorized official contact:
Name: Cooper, Kim
Phone: (662) 536-6542

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X

Profile Details

NPI number 1780127845
LBN Legal business name Journeypure Mississippi Medical Group Llc
DBA Doing business as
Authorized official Cooper, Kim
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2016
Last updated Jun 16th, 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.

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