Pontotoc Hospital Er Phys

LBN: Pontotoc Health Services, Inc.
Pontotoc Hospital Er Phys is an health care organization with primary practice located at 176 S Main St , Pontotoc MS 38863-3311. The organization recently has only one registered license in Ambulatory Health Care Facilities / Emergency Care, which is considered as the primary health care specialty. Pontotoc Health Services, Inc. can be contacted via phone (662) 488-7640, or through Reppert, Joseph A via phone (662) 377-3978.

Contact Information

Primary practice address
176 S Main St Pontotoc MS 38863-3311
Phone: (662) 488-7640
Fax: (662) 488-7675
Website:
Map and Directions
Authorized official contact:
Name: Reppert, Joseph A
Phone: (662) 377-3978

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Emergency Care 261QE0002X 16-091 Mississippi

Profile Details

NPI number 1609979053
LBN Legal business name Pontotoc Health Services, Inc.
DBA Doing business as Pontotoc Hospital Er Phys
Authorized official Reppert, Joseph A
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 7th, 2006
Last updated Nov 11th, 2011 - 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 1609979053 NPPES
Mississippi MEDICAID 9012148

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