Trace Family Health & Internal Medicine
LBN: Southern Health Corp. Of Houston, Inc.
Trace Family Health & Internal Medicine is an health care organization with primary practice located at 1002 E Madison St Ste B , Houston MS 38851-2428. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty.
Southern Health Corp. Of Houston, Inc. can be contacted via phone (662) 456-2800, or through Brockman, Sheila via phone (662) 456-3700.
Contact Information
Primary practice address
1002 E Madison St Ste B
Houston MS 38851-2428
Phone: (662) 456-2800
Fax: (662) 456-1715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1194833400 |
|---|---|
| LBN Legal business name | Southern Health Corp. Of Houston, Inc. |
| DBA Doing business as | Trace Family Health & Internal Medicine |
| Authorized official | Brockman, Sheila |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 27th, 2006 |
| Last updated | Jan 18th, 2024 - about last year |
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 | 1194833400 | NPPES |
| Mississippi | Other | 258518 | TRISPAN |
| Mississippi | Other | C02335 | TRISPAN |
| Mississippi | MEDICAID | 07978511 | TRISPAN |
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