Bolivar Medical Center Long Term Care Facility

LBN: Phc-Cleveland Inc.
Bolivar Medical Center Long Term Care Facility is an health care organization with primary practice located at 901 E Sunflower Rd , Cleveland MS 38732-2833. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Phc-Cleveland Inc. can be contacted via phone (662) 846-0061, or through Teague, Kathy via phone (629) 253-5121.

Contact Information

Primary practice address
901 E Sunflower Rd Cleveland MS 38732-2833
Phone: (662) 846-0061
Fax: (662) 846-2380
Website:
Map and Directions
Authorized official contact:
Name: Teague, Kathy
Phone: (629) 253-5121

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 151 Mississippi

Profile Details

NPI number 1316984453
LBN Legal business name Phc-Cleveland Inc.
DBA Doing business as Bolivar Medical Center Long Term Care Facility
Authorized official Teague, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated Mar 11th, 2024 - about 6 months 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 1316984453 NPPES
Mississippi Other 000080746 BLUE CROSS/SNF
Mississippi MEDICAID 0230097 BLUE CROSS/SNF

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