Primesource Nursing Services, Inc

LBN: Primesource Nursing Services, Inc
Primesource Nursing Services, Inc is an health care organization with primary practice located at 38 Pass Rd Ste A , Gulfport MS 39507-3107. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is the primary health care specialty. Primesource Nursing Services, Inc can be contacted via phone (228) 865-1330, or through Plauche, Rhett M via phone (228) 865-1330.

Contact Information

Primary practice address
38 Pass Rd Ste A Gulfport MS 39507-3107
Phone: (228) 865-1330
Fax: (228) 865-1331
Website:
Map and Directions
Authorized official contact:
Name: Plauche, Rhett M
Phone: (228) 865-1330

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7381 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 7381 Mississippi

Profile Details

NPI number 1962573170
LBN Legal business name Primesource Nursing Services, Inc
DBA Doing business as
Authorized official Plauche, Rhett M
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2006
Last updated Apr 2nd, 2018 - about 6 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 1962573170 NPPES
Mississippi MEDICAID 06550237

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