Mae Physicians Surgery Center, Llc

LBN: Mae Physicians Surgery Center, Llc
Mae Physicians Surgery Center, Llc is an health care organization with primary practice located at 1190 N State St Ste 102, Jackson MS 39202-2413. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Mae Physicians Surgery Center, Llc can be contacted via phone (601) 968-1790, or through Glaze, Carla via phone (601) 968-1790.

Contact Information

Primary practice address
1190 N State St Ste 102 Jackson MS 39202-2413
Phone: (601) 968-1790
Fax: (601) 292-4531
Website:
Map and Directions
Authorized official contact:
Name: Glaze, Carla
Phone: (601) 968-1790

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1033190129
LBN Legal business name Mae Physicians Surgery Center, Llc
DBA Doing business as
Authorized official Glaze, Carla
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2005
Last updated Apr 10th, 2014 - about 10 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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