Mississippi Orthopaedic Institute

LBN: Mississippi Orthopaedic Institute
Mississippi Orthopaedic Institute is an health care organization with primary practice located at 15190 Community Rd Ste 120 , Gulfport MS 39503-3484. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Mississippi Orthopaedic Institute can be contacted via phone (228) 328-2400, or through Johansen, Robert Lance via phone (228) 328-2400.

Contact Information

Primary practice address
15190 Community Rd Ste 120 Gulfport MS 39503-3484
Fax: (228) 328-4200
Website:
Authorized official contact:
Name: Johansen, Robert Lance Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X 14698 Mississippi

Profile Details

NPI number 1295161404
LBN Legal business name Mississippi Orthopaedic Institute
DBA Doing business as
Authorized official Johansen, Robert Lance Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2013
Last updated Sep 19th, 2013 - about 11 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 1295161404 NPPES
Mississippi MEDICAID 04232510

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