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Contact Information

BAPTIST MEDICAL CLINIC-RESERVOIR
LBN MEDICAL FOUNDATION OF CENTRAL MS, INC
1887 SPILLWAY RD.
BRANDON, MS39047
 Phone: 601-992-5532
 Fax: 601-992-5547
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BAPTIST MEDICAL CLINIC-RESERVOIR

NPI # 1144659178
LBN Legal business name MEDICAL FOUNDATION OF CENTRAL MS, INC
DBA Doing business as BAPTIST MEDICAL CLINIC-RESERVOIR
Authorized official ELIZABETH MULLINS - (PRESIDENT MBHS CLINICS)
Entity Organization
Organization subpart 1 No
Enumeration date 11/12/2013
Last updated 11/12/2013 - About 6 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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