Conehatta Satellite Clinic

LBN: Mississippi Band Of Choctaw Indians
Conehatta Satellite Clinic is an health care organization with primary practice located at 376 Campus Rd , Conehatta MS 39057-2800. The organization recently has only one registered license in Ambulatory Health Care Facilities / Public Health, Federal, which is considered as the primary health care specialty. Mississippi Band Of Choctaw Indians can be contacted via phone (601) 656-2211, or through Anderson, Phyllils J via phone (601) 656-2211.

Contact Information

Primary practice address
376 Campus Rd Conehatta MS 39057-2800
Phone: (601) 656-2211
Fax: (601) 663-7721
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Phyllils J
Phone: (601) 656-2211

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Public Health, Federal 261QP0904X

Profile Details

NPI number 1013092600
LBN Legal business name Mississippi Band Of Choctaw Indians
DBA Doing business as Conehatta Satellite Clinic
Authorized official Anderson, Phyllils J
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 25th, 2006
Last updated Jun 15th, 2012 - about 13 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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