Warren Yazoo Mental Health Service, Inc
LBN: Warren Yazoo Mental Health Service
Warren Yazoo Mental Health Service, Inc is an health care organization with primary practice located at 3444 Wisconsin Ave , Vicksburg MS 39180-5331. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Warren Yazoo Mental Health Service can be contacted via phone (601) 638-0031, or through Vessell, Rick via phone (601) 638-0031.
Contact Information
Primary practice address
3444 Wisconsin Ave
Vicksburg MS 39180-5331
Phone: (601) 638-0031
Fax: (601) 634-0234
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | R15-1 | Mississippi |
Profile Details
NPI number | 1023002920 |
---|---|
LBN Legal business name | Warren Yazoo Mental Health Service |
DBA Doing business as | Warren Yazoo Mental Health Service, Inc |
Authorized official | Vessell, Rick CPA |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 7th, 2005 |
Last updated | Feb 6th, 2017 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023002920 | NPPES |
Mississippi | MEDICAID | 00018215 | |
Mississippi | MEDICAID | 00770336 |
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