Life Transformation Medical Center Llc

LBN: Life Transformation Medical Center Llc
Life Transformation Medical Center Llc is an health care organization with primary practice located at 806 Earl Frye Blvd , Amory MS 38821-5505. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Life Transformation Medical Center Llc can be contacted via phone (662) 597-9000, or through Harmon, Crissy via phone (662) 597-9000.

Contact Information

Primary practice address
806 Earl Frye Blvd Amory MS 38821-5505
Phone: (662) 597-9000
Fax: (662) 257-2083
Website:
Map and Directions
Authorized official contact:
Name: Harmon, Crissy
Phone: (662) 597-9000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1558728469
LBN Legal business name Life Transformation Medical Center Llc
DBA Doing business as
Authorized official Harmon, Crissy
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2016
Last updated Dec 14th, 2017 - about 7 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 1558728469 NPPES
Mississippi MEDICAID 07227565

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