Sonny Montgomer Vamc

LBN: Sonny Montgomer Vamc
Sonny Montgomer Vamc is an health care organization with primary practice located at 1500 E Woodrow Wilson Ave , Jackson MS 39216-5116. The organization recently has only one registered license in Hospitals / Special Hospital, which is considered as the primary health care specialty. Sonny Montgomer Vamc can be contacted via phone (601) 362-4471, or through Taylor, Micah Dickson via phone (601) 362-4471.

Contact Information

Primary practice address
1500 E Woodrow Wilson Ave Jackson MS 39216-5116
Phone: (601) 362-4471
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Micah Dickson Licensed Clinical Social Worker (LCSW)
Phone: (601) 362-4471

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Special Hospital 284300000X C6323 Mississippi

Profile Details

NPI number 1851730121
LBN Legal business name Sonny Montgomer Vamc
DBA Doing business as
Authorized official Taylor, Micah Dickson Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2013
Last updated Jun 20th, 2013 - about 12 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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