Baptist Medical Clinic Lakeshore-Byram

LBN: Medical Foundation Of Central Mississippi, Inc
Baptist Medical Clinic Lakeshore-Byram is an health care organization with primary practice located at 7275 S Siwell Rd , Jackson MS 39272-9776. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Medical Foundation Of Central Mississippi, Inc can be contacted via phone (601) 373-7722, or through Mullins, Elizabeth H via phone (601) 292-4261.

Contact Information

Primary practice address
7275 S Siwell Rd Jackson MS 39272-9776
Phone: (601) 373-7722
Fax: (601) 373-7378
Website:
Map and Directions
Authorized official contact:
Name: Mullins, Elizabeth H
Phone: (601) 292-4261

Health care specialties

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

Profile Details

NPI number 1134249253
LBN Legal business name Medical Foundation Of Central Mississippi, Inc
DBA Doing business as Baptist Medical Clinic Lakeshore-Byram
Authorized official Mullins, Elizabeth H
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1134249253 NPPES
Mississippi MEDICAID 09014667

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