Rush Orthopedic And Sports Medicine

LBN: Rush Orthopedic And Sports Medicine
Rush Orthopedic And Sports Medicine is an health care organization with primary practice located at 1800 12Th St Suite 1C, Meridian MS 39301-4158. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Rush Orthopedic And Sports Medicine can be contacted via phone (601) 703-9231, or through Rush, Gustavus A. via phone (601) 703-9231.

Contact Information

Primary practice address
1800 12Th St Suite 1C Meridian MS 39301-4158
Fax: (601) 703-4476
Website:
Authorized official contact:
Name: Rush, Gustavus A. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1710945076
LBN Legal business name Rush Orthopedic And Sports Medicine
DBA Doing business as
Authorized official Rush, Gustavus A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2006
Last updated Feb 25th, 2011 - about 14 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 1710945076 NPPES
Other 209001400 US DEPT OF LABOR W/C
Other DA7584 US DEPT OF LABOR W/C
MEDICAID 529917900 US DEPT OF LABOR W/C

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