St Dominic Ambulatory Surgery Center L L C
LBN: St Dominic Ambulatory Surgery Center L L C
St Dominic Ambulatory Surgery Center L L C is an health care organization with primary practice located at 970 Lakeland Dr Suite 15, Jackson MS 39216-4601. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
St Dominic Ambulatory Surgery Center L L C can be contacted via phone (601) 984-8800, or through Yelverton, Richard via phone (601) 984-8800.
Contact Information
Primary practice address
970 Lakeland Dr Suite 15
Jackson MS 39216-4601
Phone: (601) 984-8800
Fax: (601) 321-8670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 011 | Mississippi |
Profile Details
| NPI number | 1255303517 |
|---|---|
| LBN Legal business name | St Dominic Ambulatory Surgery Center L L C |
| DBA Doing business as | |
| Authorized official | Yelverton, Richard Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jun 16th, 2010 - about 14 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 | 1255303517 | NPPES |
| Mississippi | MEDICAID | 0770362 |
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