Leake Memorial Hospital

LBN: Leake County Board Of Trustees
Leake Memorial Hospital is an health care organization with primary practice located at 310 Ellis St , Carthage MS 39051-3809. The organization recently has 3 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Hospitals / Critical Access, Hospitals / Rural. Hospitals / Critical Access is the primary health care specialty. Leake County Board Of Trustees can be contacted via phone (601) 267-1100, or through Faulkner, Robert Daniel via phone (601) 267-1432.

Contact Information

Primary practice address
310 Ellis St Carthage MS 39051-3809
Phone: (601) 267-1100
Fax: (601) 267-1211
Website:
Map and Directions
Authorized official contact:
Name: Faulkner, Robert Daniel
Phone: (601) 267-1432

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 11-187 Mississippi
Hospitals / Critical Access 282NC0060X 11-187 Mississippi
Hospitals / Rural 282NR1301X 11-187 Mississippi

Profile Details

NPI number 1831174804
LBN Legal business name Leake County Board Of Trustees
DBA Doing business as Leake Memorial Hospital
Authorized official Faulkner, Robert Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2005
Last updated Dec 30th, 2008 - about 17 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 1831174804 NPPES
Mississippi MEDICAID 0220808
Mississippi MEDICAID 0220809
Mississippi MEDICAID 0230186
Mississippi MEDICAID 9016232
Mississippi MEDICAID 9016253

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