Professional Services Division
LBN: Rush Medical Foundation
Professional Services Division is an health care organization with primary practice located at 1314 19Th Ave , Meridian MS 39301-4116. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Cardiology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty.
Rush Medical Foundation can be contacted via phone (601) 483-0011, or through Kennedy, Don Larkin via phone (601) 703-9614.
Contact Information
Primary practice address
1314 19Th Ave
Meridian MS 39301-4116
Phone: (601) 483-0011
Fax: (601) 703-3080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X |
Profile Details
| NPI number | 1588625594 |
|---|---|
| LBN Legal business name | Rush Medical Foundation |
| DBA Doing business as | Professional Services Division |
| Authorized official | Kennedy, Don Larkin |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Dec 28th, 2022 - about 2 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 | 1588625594 | NPPES |
| Mississippi | MEDICAID | 009014336 |
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