OUTREACH HEALTH SERVICES,INC.; NPI #1548359565

Contact Information

OUTREACH HEALTH SERVICES,INC.

130 NORTH HIGH STREET
SHUBUTA, MS 39360

Phone: 601-687-5859
Fax: 601-687-5408
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community Health	261QC1500X
Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for OUTREACH HEALTH SERVICES,INC.

NPI # 1548359565

LBN Legal business name OUTREACH HEALTH SERVICES,INC.

Authorized official SABRINA HOWZE - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/11/2006

Last updated 03/09/2015 - About 11 years ago

Identifiers

MS	Medicaid	08384012
MS	Medicaid	09013496

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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