Mccomb Urology Clinic, P.A.

LBN: Mccomb Urology Clinic, P.A.
Mccomb Urology Clinic, P.A. is an health care organization with primary practice located at 300 Rawls Dr Ste 1000 , Mccomb MS 39648-2861. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Mccomb Urology Clinic, P.A. can be contacted via phone (601) 684-1261, or through Simo, Jose Benjamin via phone (601) 684-1261.

Contact Information

Primary practice address
300 Rawls Dr Ste 1000 Mccomb MS 39648-2861
Phone: (601) 684-1261
Fax: (601) 684-3649
Website:
Map and Directions
Authorized official contact:
Name: Simo, Jose Benjamin Doctor of Medicine (MD)
Phone: (601) 684-1261

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 7944 Mississippi

Profile Details

NPI number 1073600409
LBN Legal business name Mccomb Urology Clinic, P.A.
DBA Doing business as
Authorized official Simo, Jose Benjamin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 21st, 2022 - 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 1073600409 NPPES
Mississippi MEDICAID 00016344

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