Surgery Clinic Of Tupelo Pa

LBN: Surgery Clinic Of Tupelo Pa
Surgery Clinic Of Tupelo Pa is an health care organization with primary practice located at 499 Gloster Creek Vlg Ste S1 , Tupelo MS 38801-4708. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Surgery Clinic Of Tupelo Pa can be contacted via phone (662) 377-6470, or through Spain, Terecia via phone (662) 377-6472.

Contact Information

Primary practice address
499 Gloster Creek Vlg Ste S1 Tupelo MS 38801-4708
Phone: (662) 377-6470
Fax: (662) 377-6475
Website:
Map and Directions
Authorized official contact:
Name: Spain, Terecia
Phone: (662) 377-6472

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1346211539
LBN Legal business name Surgery Clinic Of Tupelo Pa
DBA Doing business as
Authorized official Spain, Terecia
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2006
Last updated Dec 14th, 2018 - about 7 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 1346211539 NPPES
Mississippi MEDICAID 09013129

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