Picayune Rural Health Clinic
LBN: Picayune Rural Health Clinic
Picayune Rural Health Clinic is an health care organization with primary practice located at 317 N Main St , Picayune MS 39466-3313. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is the primary health care specialty.
Picayune Rural Health Clinic can be contacted via phone (601) 799-5577, or through Hodge, Krista Kay via phone (601) 799-5577.
Contact Information
Primary practice address
317 N Main St
Picayune MS 39466-3313
Phone: (601) 799-5577
Fax: (601) 799-5444
Website:
Authorized official contact:
Name: Hodge, Krista Kay Family Nurse Practitioner (FNP)
Phone: (601) 799-5577
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 13678 | Mississippi |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R767181 | Mississippi |
Profile Details
| NPI number | 1700983913 |
|---|---|
| LBN Legal business name | Picayune Rural Health Clinic |
| DBA Doing business as | |
| Authorized official | Hodge, Krista Kay Family Nurse Practitioner (FNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Aug 18th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700983913 | NPPES |
| Mississippi | MEDICAID | 09045721 |
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