Bay Plaza Medical Clinic

LBN: Medical Foundation Of South Ms
Bay Plaza Medical Clinic is an health care organization with primary practice located at 618 Blue Meadow Rd Suite 20, Bay St Louis MS 39520-2834. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Medical Foundation Of South Ms can be contacted via phone (228) 463-0824, or through Robinson, Randy via phone (228) 865-1453.

Contact Information

Primary practice address
618 Blue Meadow Rd Suite 20 Bay St Louis MS 39520-2834
Phone: (228) 463-0824
Fax: (228) 463-0827
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
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1477599280
LBN Legal business name Medical Foundation Of South Ms
DBA Doing business as Bay Plaza Medical Clinic
Authorized official Robinson, Randy
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated May 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477599280 NPPES
Mississippi MEDICAID 02976571

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