Phoenix Healthcare, Llc

LBN: Phoenix Healthcare, Llc
Phoenix Healthcare, Llc is an health care organization with primary practice located at 199 Interstate Dr Suite U, Richland MS 39218-4428. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Phoenix Healthcare, Llc can be contacted via phone (601) 932-3397, or through Wall, Roland B via phone (601) 932-3397.

Contact Information

Primary practice address
199 Interstate Dr Suite U Richland MS 39218-4428
Phone: (601) 932-3397
Fax: (601) 932-3398
Website:
Map and Directions
Authorized official contact:
Name: Wall, Roland B
Phone: (601) 932-3397

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1730288507
LBN Legal business name Phoenix Healthcare, Llc
DBA Doing business as
Authorized official Wall, Roland B
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Sep 23rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730288507 NPPES
Mississippi MEDICAID 06824216

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