Vicksburg Convalescent Center

LBN: Vicksburg Convalescent, Llc
Vicksburg Convalescent Center is an health care organization with primary practice located at 1708 Cherry St , Vicksburg MS 39180. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Vicksburg Convalescent, Llc can be contacted via phone (601) 638-3632, or through Orand, William D. via phone (615) 250-7100.

Contact Information

Primary practice address
1708 Cherry St Vicksburg MS 39180
Phone: (601) 638-3632
Fax: (601) 638-3998
Website:
Map and Directions
Authorized official contact:
Name: Orand, William D.
Phone: (615) 250-7100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 176 Mississippi

Profile Details

NPI number 1578553459
LBN Legal business name Vicksburg Convalescent, Llc
DBA Doing business as Vicksburg Convalescent Center
Authorized official Orand, William D.
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 24th, 2005
Last updated May 24th, 2018 - about 6 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 1578553459 NPPES
Mississippi MEDICAID 00220334

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