University Family Medicine Associates, Pllc

LBN: University Family Medicine Associates, Pllc
University Family Medicine Associates, Pllc is an health care organization with primary practice located at 878 Lakeland Drive , Jackson MS 39216. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. University Family Medicine Associates, Pllc can be contacted via phone (601) 984-6800, or through Beebe, Diane K via phone (601) 984-5410.

Contact Information

Primary practice address
878 Lakeland Drive Jackson MS 39216
Phone: (601) 984-6800
Fax: (601) 984-6812
Website:
Map and Directions
Authorized official contact:
Name: Beebe, Diane K Doctor of Medicine (MD)
Phone: (601) 984-5410

Health care specialties

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

Profile Details

NPI number 1396846648
LBN Legal business name University Family Medicine Associates, Pllc
DBA Doing business as
Authorized official Beebe, Diane K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 21st, 2022 - about 2 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 1396846648 NPPES
Mississippi MEDICAID 09014106
Mississippi MEDICAID 09014130

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