Sky Integrative Medical Center

LBN: Sky Integrative Medical Center
Sky Integrative Medical Center is an health care organization with primary practice located at 408 Fontaine Pl Ste 104 , Ridgeland MS 39157-5189. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Sky Integrative Medical Center can be contacted via phone (601) 617-7717, or through Bennett, Shamekia via phone (601) 617-7717.

Contact Information

Primary practice address
408 Fontaine Pl Ste 104 Ridgeland MS 39157-5189
Phone: (601) 617-7717
Fax: (601) 398-0381
Website:
Map and Directions
Authorized official contact:
Name: Bennett, Shamekia B.S.
Phone: (601) 617-7717

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1235845892
LBN Legal business name Sky Integrative Medical Center
DBA Doing business as
Authorized official Bennett, Shamekia B.S.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2023
Last updated Jan 26th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235845892 NPPES
Mississippi MEDICAID 06454351

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