Pacific Physician Services Llc

LBN: Pacific Physician Services Llc
Pacific Physician Services Llc is an health care organization with primary practice located at 425 Highway 42 , Petal MS 39465-2891. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Pacific Physician Services Llc can be contacted via phone (601) 584-4890, or through Brewer, Debbie T via phone (615) 465-7626.

Contact Information

Primary practice address
425 Highway 42 Petal MS 39465-2891
Phone: (601) 584-4890
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Debbie T
Phone: (615) 465-7626

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1902861651
LBN Legal business name Pacific Physician Services Llc
DBA Doing business as
Authorized official Brewer, Debbie T
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2006
Last updated Mar 27th, 2012 - about 13 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 1902861651 NPPES
Mississippi MEDICAID 09016137
Mississippi MEDICAID 09270509
Mississippi MEDICAID 09016291
Mississippi MEDICAID 05781336
Mississippi MEDICAID 09016153
Mississippi MEDICAID 01302267

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