Louisiana Center For Advanced Medicine

LBN: Mississippi Center For Advanced Medicine, Pc
Louisiana Center For Advanced Medicine is an health care organization with primary practice located at 2053 Gause Blvd E Ste 200 , Slidell LA 70461-5451. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mississippi Center For Advanced Medicine, Pc can be contacted via phone (985) 259-8045, or through Sullivan, Spencer K via phone (601) 499-0935.

Contact Information

Primary practice address
2053 Gause Blvd E Ste 200 Slidell LA 70461-5451
Phone: (985) 259-8045
Fax: (601) 499-0311
Website:
Map and Directions
Authorized official contact:
Name: Sullivan, Spencer K Doctor of Medicine (MD)
Phone: (601) 499-0935

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1548720527
LBN Legal business name Mississippi Center For Advanced Medicine, Pc
DBA Doing business as Louisiana Center For Advanced Medicine
Authorized official Sullivan, Spencer K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 25th, 2019
Last updated Sep 25th, 2019 - 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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