Internal Medicine Clinic

LBN: Medical Foundation Of South Ms
Internal Medicine Clinic is an health care organization with primary practice located at 1110 Broad Ave Suite 700, Gulfport MS 39501-8907. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Medical Foundation Of South Ms can be contacted via phone (228) 864-0314, or through Robinson, Randy via phone (228) 865-1453.

Contact Information

Primary practice address
1110 Broad Ave Suite 700 Gulfport MS 39501-8907
Phone: (228) 864-0314
Fax: (228) 864-0425
Website:
Map and Directions
Authorized official contact:
Name: Robinson, Randy
Phone: (228) 865-1453

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1245276740
LBN Legal business name Medical Foundation Of South Ms
DBA Doing business as Internal Medicine Clinic
Authorized official Robinson, Randy
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated Apr 2nd, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245276740 NPPES
Mississippi MEDICAID 09014379

Popular Providers