Tupelo Orthopedic Clinic Pa

LBN: Tupelo Orthopedic Clinic Pa
Tupelo Orthopedic Clinic Pa is an health care organization with primary practice located at 808 Garfield St , Tupelo MS 38801-5749. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Tupelo Orthopedic Clinic Pa can be contacted via phone (662) 844-5330, or through Black, Rhonda via phone (662) 844-5330.

Contact Information

Primary practice address
808 Garfield St Tupelo MS 38801-5749
Phone: (662) 844-5330
Fax: (662) 841-2962
Website:
Map and Directions
Authorized official contact:
Name: Black, Rhonda
Phone: (662) 844-5330

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1245258193
LBN Legal business name Tupelo Orthopedic Clinic Pa
DBA Doing business as
Authorized official Black, Rhonda
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2006
Last updated Aug 14th, 2012 - about 13 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 1245258193 NPPES
Mississippi MEDICAID 9011365

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