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Contact Information

MEDICAL FOUNDATION, INC.
1314 19TH AVE
MERIDIAN, MS39301-4116
 Phone: 601-703-4362
 Fax: 601-703-9321
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for MEDICAL FOUNDATION, INC.

NPI # 1851422711
LBN Legal business name MEDICAL FOUNDATION, INC.
Authorized official DON KENNEDY - (REGIONAL CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/09/2007
Last updated 04/21/2023 - About 3 years ago
Identifiers
AL Medicaid 529909690
MS Medicaid 07631269
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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