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:
Authorized official contact:
Name: Bush, Shannon Y Master of Public Administration (MPA)
Phone: (228) 328-6000
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Psychiatric Residential Treatment Facility | 323P00000X | 981 | Mississippi |
Profile Details
| NPI number | 1467637488 |
|---|---|
| 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 | Jan 9th, 2008 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467637488 | NPPES |
| Mississippi | MEDICAID | 04333899 | |
| Mississippi | Other | 1013922954 |
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