Julia Street Clinic, Inc.

LBN: Julia Street Clinic, Inc.
Julia Street Clinic, Inc. is an health care organization with primary practice located at 102 Julia Street , Isola MS 38754. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Julia Street Clinic, Inc. can be contacted via phone (662) 962-7923, or through James, Vernita via phone (662) 962-7923.

Contact Information

Primary practice address
102 Julia Street Isola MS 38754
Phone: (662) 962-7923
Fax:
Website:
Map and Directions
Authorized official contact:
Name: James, Vernita
Phone: (662) 962-7923

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X

Profile Details

NPI number 1740310549
LBN Legal business name Julia Street Clinic, Inc.
DBA Doing business as
Authorized official James, Vernita
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1740310549 NPPES
Mississippi MEDICAID 01285834

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