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Contact Information

RIVER BEND MEDICAL CLINIC, INC
2659 LAKELAND DR
FLOWOOD, MS39232-9516
 Phone: 601-933-1199
 Fax: 601-933-1116
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for RIVER BEND MEDICAL CLINIC, INC

NPI Number 1568459089
LBN Legal business name RIVER BEND MEDICAL CLINIC, INC
Authorized official PAIGE KEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/29/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers
MS License # NO LICENCE NUMBER
MS Medicaid 09015472
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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