National Provider Identifier Database

G V SONNY MONTGOMERY VA MEDICAL CENTER
Military General Acute Care Hospital

A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in ?fixed? facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A ?fixed? facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the ?fixed? facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as ?pass-through? items.


Contact Information

G. V. SONNY MONTGOMERY VA MEDICAL CENTER
1500 E WOODROW WILSON AVE
JACKSON, MS39216-5116
Phone: 601-362-4471
Fax: 601-368-4089
Website:
Specialty Taxonomy Code
* Military General Acute Care Hospital 2865M2000X

* Indicates primary specialty

NPI Profile & details for G. V. SONNY MONTGOMERY VA MEDICAL CENTER

NPI Number 1093170730
Legal business name
LBN
G. V. SONNY MONTGOMERY VA MEDICAL CENTER
Authorized official ANDREE BURNETT - (CHIEF OF PRIMARY CARE SERVICES)
Entity Organization
Organization subpart No
Enumeration date 12/23/2015
Last updated 12/23/2015 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 901359

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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