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Contact Information

PROVIDENCE HEALTHCARE OF MS
6735 I-55 SOUTH FRONTAGE ROAD
SUITE 2-A
BYRAM, MS39272
 Phone: 601-720-5460
 Fax: 601-878-0687
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for PROVIDENCE HEALTHCARE OF MS

NPI Number 1144665738
LBN Legal business name PROVIDENCE HEALTHCARE OF MS
Authorized official PATRICH MANN - (DIRECTOR/MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/08/2013
Last updated 08/27/2015 - About 11 years ago
Identifiers
MS License # R866849
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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