B Emmeline Smith Clinic

LBN: University Of Southern Mississippi
B Emmeline Smith Clinic is an health care organization with primary practice located at 118 College Dr Ste 5066, Hattiesburg MS 39406-0002. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. University Of Southern Mississippi can be contacted via phone (601) 266-4075, or through Tisdale, Celeste via phone (601) 266-4075.

Contact Information

Primary practice address
118 College Dr Ste 5066 Hattiesburg MS 39406-0002
Phone: (601) 266-4075
Fax: (601) 266-4205
Website:
Map and Directions
Authorized official contact:
Name: Tisdale, Celeste RPH
Phone: (601) 266-4075

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 01065 Mississippi

Profile Details

NPI number 1750402798
LBN Legal business name University Of Southern Mississippi
DBA Doing business as B Emmeline Smith Clinic
Authorized official Tisdale, Celeste RPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Jul 14th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750402798 NPPES
Other 2518491 NCPDP PROVIDER IDENTIFICATION NUMBER

Popular Providers