Mississippi Surgical Specialties Center Pa

LBN: Mississippi Surgical Specialties Center Pa
Mississippi Surgical Specialties Center Pa is an health care organization with primary practice located at 1401 River Road , Greenwood MS 38930-1410. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Mississippi Surgical Specialties Center Pa can be contacted via phone (662) 453-9305, or through Smith, Annie via phone (662) 453-9305.

Contact Information

Primary practice address
1401 River Road Greenwood MS 38930-1410
Phone: (662) 453-9305
Fax: (662) 451-5157
Website:
Map and Directions
Authorized official contact:
Name: Smith, Annie CCS-P, CCA
Phone: (662) 453-9305

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 03952 Mississippi

Profile Details

NPI number 1346211976
LBN Legal business name Mississippi Surgical Specialties Center Pa
DBA Doing business as
Authorized official Smith, Annie CCS-P, CCA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2006
Last updated Jul 9th, 2010 - about 14 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 1346211976 NPPES
Mississippi MEDICAID 00018589

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