Statcare Pllc

LBN: Statcare Pllc
Statcare Pllc is an health care organization with primary practice located at 1017 Delaware Ave , Mccomb MS 39648-3827. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Statcare Pllc can be contacted via phone (601) 250-1122, or through Kennedy, Debra B via phone (601) 250-1122.

Contact Information

Primary practice address
1017 Delaware Ave Mccomb MS 39648-3827
Phone: (601) 250-1122
Fax: (601) 250-0290
Website:
Map and Directions
Authorized official contact:
Name: Kennedy, Debra B
Phone: (601) 250-1122

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1174579338
LBN Legal business name Statcare Pllc
DBA Doing business as
Authorized official Kennedy, Debra B
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Oct 23rd, 2007 - about 17 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 1174579338 NPPES
Mississippi Other CN2774 MEDICARE RAILROAD

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