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Contact Information

SOUTHERN HEALTHCARE AGENCY, INC.
301 NEW POINTE
RIDGELAND, MS39157-3904
 Phone: 601-933-0037
 Fax: 601-932-8468
 Website:
Indicates primary specialty

NPI Profile & details for SOUTHERN HEALTHCARE AGENCY, INC.

NPI # 1336338763
LBN Legal business name SOUTHERN HEALTHCARE AGENCY, INC.
Authorized official JACKIE MCMILLAN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/22/2007
Last updated 07/15/2020 - About 6 years ago
Identifiers
MS License # 27 17 009C
MS Medicaid 00118933
MS Medicaid 00770283
MS Medicaid 00770284
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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