Kidney Disease & Hypertension Centers, Pa

LBN: Kidney Disease & Hypertension Centers, Pa
Kidney Disease & Hypertension Centers, Pa is an health care organization with primary practice located at 2712 Criswell Ave , Pascagoula MS 39567-1143. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Kidney Disease & Hypertension Centers, Pa can be contacted via phone (228) 762-0713, or through Brunt, Joel R via phone (228) 762-0713.

Contact Information

Primary practice address
2712 Criswell Ave Pascagoula MS 39567-1143
Phone: (228) 762-0713
Fax: (228) 762-0712
Website:
Map and Directions
Authorized official contact:
Name: Brunt, Joel R Doctor of Medicine (MD)
Phone: (228) 762-0713

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 09811 Mississippi

Profile Details

NPI number 1568491728
LBN Legal business name Kidney Disease & Hypertension Centers, Pa
DBA Doing business as
Authorized official Brunt, Joel R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2006
Last updated Aug 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568491728 NPPES
Mississippi MEDICAID 09014436

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