Caledonia Medical Care

LBN: Jrco, Llc
Caledonia Medical Care is an health care organization with primary practice located at 9692 Wolfe Rd , Caledonia MS 39740. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Jrco, Llc can be contacted via phone (662) 356-0320, or through Beezley, Alvin Ray via phone (662) 356-0320.

Contact Information

Primary practice address
9692 Wolfe Rd Caledonia MS 39740
Phone: (662) 356-0320
Fax: (662) 356-0322
Website:
Map and Directions
Authorized official contact:
Name: Beezley, Alvin Ray Doctor of Osteopathy (DO)
Phone: (662) 356-0320

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 15421 Mississippi

Profile Details

NPI number 1184056285
LBN Legal business name Jrco, Llc
DBA Doing business as Caledonia Medical Care
Authorized official Beezley, Alvin Ray Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2013
Last updated Jul 31st, 2013 - 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 1184056285 NPPES
Mississippi MEDICAID 07757360
Mississippi Other 512I110141

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