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Contact Information

MISSISSIPPI HOSPITAL FOR RESTORATIVE CARE, INC.
1225 N STATE ST
JACKSON, MS39202-2064
 Phone: 601-968-5130
 Fax: 601-968-1383
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Hospital

282E00000X A0[7] Hospital-Long-Term (PPS excluded)
Indicates primary specialty

NPI Profile & details for MISSISSIPPI HOSPITAL FOR RESTORATIVE CARE, INC.

NPI # 1407886146
LBN Legal business name MISSISSIPPI HOSPITAL FOR RESTORATIVE CARE, INC.
Authorized official DAVID JACKSON - (VICE PRESIDENT/CORPORATE CONTROLLER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/04/2006
Last updated 12/05/2007 - About 19 years ago
Identifiers
MS License # 23-319
MS Medicaid 00220174
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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