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Contact Information

UNIV PREV MED ASSOCS PLLC
2500 N STATE ST
JACKSON, MS39216-4500
 Phone: 601-984-1925
 Fax: 601-984-1916
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Special Hospital

284300000X A0[7] Hospital-Specialty Hospital (cardiac, orthopedic, surgical)
Indicates primary specialty

NPI Profile & details for UNIV PREV MED ASSOCS PLLC

NPI Number 1447465067
LBN Legal business name UNIV PREV MED ASSOCS PLLC
Authorized official SARA STUBBS - (SUPERVISOR BILLING AND COLLECTIONS)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/14/2007
Last updated 07/21/2022 - About 4 years ago
Identifiers
MS Medicaid 09014153
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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