Super Shots Mobile Flu Shot Clinic

LBN: Super Shots Mobile Flu Shot Clinic
Super Shots Mobile Flu Shot Clinic is an health care organization with primary practice located at 109 Belva Dr , Vicksburg MS 39180-8928. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Super Shots Mobile Flu Shot Clinic can be contacted via phone (769) 203-2711, or through Sorrels, Shenicia via phone (769) 203-2711.

Contact Information

Primary practice address
109 Belva Dr Vicksburg MS 39180-8928
Phone: (769) 203-2711
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sorrels, Shenicia
Phone: (769) 203-2711

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X P320988 Mississippi

Profile Details

NPI number 1619243359
LBN Legal business name Super Shots Mobile Flu Shot Clinic
DBA Doing business as
Authorized official Sorrels, Shenicia
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2012
Last updated Mar 27th, 2012 - about 12 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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