Jasper Medical Clinic

LBN: Outreach Health Services,Inc.
Jasper Medical Clinic is an health care organization with primary practice located at 309 Pine Ave , Heidelberg MS 39439. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Outreach Health Services,Inc. can be contacted via phone (601) 787-3464, or through Everett, Terry D via phone (601) 787-3464.

Contact Information

Primary practice address
309 Pine Ave Heidelberg MS 39439
Phone: (601) 787-3464
Fax: (601) 787-3400
Website:
Map and Directions
Authorized official contact:
Name: Everett, Terry D
Phone: (601) 787-3464

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X R624705 Mississippi

Profile Details

NPI number 1255521480
LBN Legal business name Outreach Health Services,Inc.
DBA Doing business as Jasper Medical Clinic
Authorized official Everett, Terry D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2007
Last updated Nov 2nd, 2011 - 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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