Millcreek Of Pontotoc Mypac

LBN: Rehabilitation Centers, Inc., D/B/A Millcreek Of Pontotoc
Millcreek Of Pontotoc Mypac is an health care organization with primary practice located at 1814 Highway 15 N , Pontotoc MS 38863-6962. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Rehabilitation Centers, Inc., D/B/A Millcreek Of Pontotoc can be contacted via phone (662) 488-8878, or through Hood, Ed via phone (662) 488-8878.

Contact Information

Primary practice address
1814 Highway 15 N Pontotoc MS 38863-6962
Phone: (662) 488-8878
Fax: (662) 488-8767
Website:
Map and Directions
Authorized official contact:
Name: Hood, Ed
Phone: (662) 488-8878

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 911 Mississippi

Profile Details

NPI number 1538556311
LBN Legal business name Rehabilitation Centers, Inc., D/B/A Millcreek Of Pontotoc
DBA Doing business as Millcreek Of Pontotoc Mypac
Authorized official Hood, Ed
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2015
Last updated Apr 20th, 2015 - about 10 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 1538556311 NPPES
Mississippi MEDICAID 00220588

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