John C Longest Student Health Center

LBN: Mississippi State University
John C Longest Student Health Center is an health care organization with primary practice located at 360 Hardy Rd , Mississippi State MS 39762. The organization recently has only one registered license in Ambulatory Health Care Facilities / Student Health, which is considered as the primary health care specialty. Mississippi State University can be contacted via phone (662) 325-2431, or through Hale, Daniel T via phone (662) 325-5895.

Contact Information

Primary practice address
360 Hardy Rd Mississippi State MS 39762
Phone: (662) 325-2431
Fax: (662) 325-8888
Website:
Map and Directions
Authorized official contact:
Name: Hale, Daniel T
Phone: (662) 325-5895

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Student Health 261QS1000X

Profile Details

NPI number 1225012255
LBN Legal business name Mississippi State University
DBA Doing business as John C Longest Student Health Center
Authorized official Hale, Daniel T
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2005
Last updated Sep 29th, 2021 - about 4 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 1225012255 NPPES
Mississippi MEDICAID 09012379

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