University Preventive Medicine

LBN: University Preventive Medicine
University Preventive Medicine is an health care organization with primary practice located at 2500 N State St , Jackson MS 39216-4500. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. University Preventive Medicine can be contacted via phone (601) 984-1925, or through Stubbs, Sara Lynn via phone (601) 984-1925.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-1925
Fax: (601) 984-1916
Website:
Map and Directions
Authorized official contact:
Name: Stubbs, Sara Lynn
Phone: (601) 984-1925

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X Mississippi

Profile Details

NPI number 1154541415
LBN Legal business name University Preventive Medicine
DBA Doing business as
Authorized official Stubbs, Sara Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2007
Last updated Jul 21st, 2022 - about 3 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 1154541415 NPPES
Mississippi MEDICAID 09014153

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