Glycemic Control Center

LBN: North Mississippi Medical Center
Glycemic Control Center is an health care organization with primary practice located at 830 S Gloster St 1St Floor East Tower, Tupelo MS 38801-4934. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. North Mississippi Medical Center can be contacted via phone (662) 377-2500, or through Wages, Gerald via phone (662) 377-3000.

Contact Information

Primary practice address
830 S Gloster St 1St Floor East Tower Tupelo MS 38801-4934
Phone: (662) 377-2500
Fax: (662) 377-2069
Website:
Map and Directions
Authorized official contact:
Name: Wages, Gerald
Phone: (662) 377-3000

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1336328715
LBN Legal business name North Mississippi Medical Center
DBA Doing business as Glycemic Control Center
Authorized official Wages, Gerald
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2007
Last updated Nov 1st, 2007 - about 18 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 1336328715 NPPES
Mississippi Other C03168 MEDICARE GROUP

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