TRI-VISTA REHAB, INC; NPI #1265025522

Contact Information

TRI-VISTA REHAB, INC

411 OAK ST.
RICHTON, MS 39476

Phone: 662-270-6486
Fax: 662-842-7915
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation	261QR0400X	B4[14]	Rehabilitation Agency

Indicates primary specialty

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NPI Profile & details for TRI-VISTA REHAB, INC

NPI Number	`1265025522`
LBN Legal business name	TRI-VISTA REHAB, INC
Authorized official	KEVIN BOUTIN - (PRESIDENT)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	02/18/2021
Last updated	02/18/2021 - About 5 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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