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
Fax: (601) 321-8670
Website:
Authorized official contact:
Name: Yelverton, Richard Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255303517 NPPES
Mississippi MEDICAID 0770362

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