Specialized Treatment Facility

LBN: Specialized Treatment Facility
Specialized Treatment Facility is an health care organization with primary practice located at 14426 James Bond Rd , Gulfport MS 39503-8311. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty. Specialized Treatment Facility can be contacted via phone (228) 328-6000, or through Bush, Shannon Y via phone (228) 328-6000.

Contact Information

Primary practice address
14426 James Bond Rd Gulfport MS 39503-8311
Phone: (228) 328-6000
Fax: (228) 328-6035
Website:
Map and Directions
Authorized official contact:
Name: Bush, Shannon Y Master of Public Administration (MPA)
Phone: (228) 328-6000

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X 981 Mississippi

Profile Details

NPI number 1013922954
LBN Legal business name Specialized Treatment Facility
DBA Doing business as
Authorized official Bush, Shannon Y Master of Public Administration (MPA)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2006
Last updated Dec 5th, 2019 - about 6 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 1013922954 NPPES
Mississippi MEDICAID 04333899

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