Keystone Medical Services Of Mississippi, Pa

LBN: Keystone Medical Services Of Mississippi, Pa
Keystone Medical Services Of Mississippi, Pa is an health care organization with primary practice located at 233 Magnolia St , Hazlehurst MS 39083-2228. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Keystone Medical Services Of Mississippi, Pa can be contacted via phone (601) 894-4541, or through Okeke, Theophilus via phone (904) 482-1070.

Contact Information

Primary practice address
233 Magnolia St Hazlehurst MS 39083-2228
Phone: (601) 894-4541
Fax: (904) 482-1076
Website:
Map and Directions
Authorized official contact:
Name: Okeke, Theophilus Doctor of Medicine (MD)
Phone: (904) 482-1070

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1336322775
LBN Legal business name Keystone Medical Services Of Mississippi, Pa
DBA Doing business as
Authorized official Okeke, Theophilus Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2007
Last updated Dec 7th, 2007 - about 18 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 1336322775 NPPES
Mississippi MEDICAID 09403285

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