St Dominic-Jackson Memorial Hospital

LBN: St Dominic-Jackson Memorial Hospital
St Dominic-Jackson Memorial Hospital is an health care organization with primary practice located at 969 Lakeland Dr , Jackson MS 39216-4606. The organization recently has only one registered license in Hospital Units / Psychiatric Unit, which is considered as the primary health care specialty. St Dominic-Jackson Memorial Hospital can be contacted via phone (601) 200-2000, or through Koury, Peter G. via phone (601) 200-6950.

Contact Information

Primary practice address
969 Lakeland Dr Jackson MS 39216-4606
Phone: (601) 200-2000
Fax: (600) 200-0924
Website:
Map and Directions
Authorized official contact:
Name: Koury, Peter G. CPA, FHFMA
Phone: (601) 200-6950

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Psychiatric Unit 273R00000X 14-031 Mississippi

Profile Details

NPI number 1679596860
LBN Legal business name St Dominic-Jackson Memorial Hospital
DBA Doing business as
Authorized official Koury, Peter G. CPA, FHFMA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1679596860 NPPES
Mississippi MEDICAID 00020034

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