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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 Specialty Code Provider Type

Military General Acute Care Hospital

2865M2000X
Indicates primary specialty

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

NPI # 1093170730
LBN Legal business name G. V. SONNY MONTGOMERY VA MEDICAL CENTER
Authorized official ANDREE BURNETT - (CHIEF OF PRIMARY CARE SERVICES)
Entity Organization
Organization subpart 1 No
Enumeration date 12/23/2015
Last updated 12/23/2015 - About 10 years ago
Identifiers
MS License # 901359
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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