Weaver Family Practice

LBN: Medical Foundation Of South Mississippi
Weaver Family Practice is an health care organization with primary practice located at 1612 31St Ave , Gulfport MS 39501-2750. 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 South Mississippi can be contacted via phone (228) 865-1453, or through Robinson, Randy via phone (228) 865-1453.

Contact Information

Primary practice address
1612 31St Ave Gulfport MS 39501-2750
Phone: (228) 865-1453
Fax: (228) 865-1451
Website:
Map and Directions
Authorized official contact:
Name: Robinson, Randy
Phone: (228) 865-1453

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14403 Mississippi

Profile Details

NPI number 1801904156
LBN Legal business name Medical Foundation Of South Mississippi
DBA Doing business as Weaver Family Practice
Authorized official Robinson, Randy
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2006
Last updated Feb 1st, 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 1801904156 NPPES
Mississippi Other CM1261 RAILROAD MEDICARE
Mississippi MEDICAID 9014378 RAILROAD MEDICARE

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