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Contact Information

ABILITY CLUB CORPORATION
11551 PINE DR
GULFPORT, MS39503-3998
 Phone: 251-404-0016
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for ABILITY CLUB CORPORATION

NPI Number 1275938763
LBN Legal business name ABILITY CLUB CORPORATION
Authorized official WADE OGLETREE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/27/2014
Last updated 10/27/2014 - About 12 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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