Southaven Services

LBN: Southaven Services
Southaven Services is an health care organization with primary practice located at 1326 Goodman Rd E , Southaven MS 38671-9542. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Southaven Services can be contacted via phone (662) 536-3132, or through Spearman, Charlie D via phone (662) 287-9883.

Contact Information

Primary practice address
1326 Goodman Rd E Southaven MS 38671-9542
Phone: (662) 536-3132
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Spearman, Charlie D
Phone: (662) 287-9883

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1003218058
LBN Legal business name Southaven Services
DBA Doing business as
Authorized official Spearman, Charlie D
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 22nd, 2014
Last updated Sep 22nd, 2014 - 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 1003218058 NPPES
Mississippi MEDICAID 00018204

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