Big Mouth Bass Clinic - Sanderson Tower - Level B

LBN: State Of Mississippi - University Of Mississippi Medical Center
Big Mouth Bass Clinic - Sanderson Tower - Level B is an health care organization with primary practice located at 2500 N. State Street Big Mouth Bass Clinic - Sanderson Tower - Level B, Jackson MS 39216-4500. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Suppliers / Prosthetic/Orthotic Supplier. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. State Of Mississippi - University Of Mississippi Medical Center can be contacted via phone (601) 984-6025, or through Grimsley, Jeffrey via phone (601) 815-6270.

Contact Information

Primary practice address
2500 N. State Street Big Mouth Bass Clinic - Sanderson Tower - Level B Jackson MS 39216-4500
Phone: (601) 984-6025
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grimsley, Jeffrey
Phone: (601) 815-6270

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1639898877
LBN Legal business name State Of Mississippi - University Of Mississippi Medical Center
DBA Doing business as Big Mouth Bass Clinic - Sanderson Tower - Level B
Authorized official Grimsley, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2022
Last updated May 1st, 2024 - about 6 months 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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