National Provider Identifier Database

COPAC INCORPORATED
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

COPAC INCORPORATED
4309 LAKELAND DR
FLOWOOD, MS39232-8947
Phone: 601-829-2500
Fax: 601-932-3857
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for COPAC INCORPORATED

NPI Number 1922127331
Legal business name
LBN
COPAC INCORPORATED
Authorized official JERALD HUGHES, JR. - (CEO)
Entity Organization
Organization subpart No
Enumeration date 03/28/2007
Last updated 10/30/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: FS39-DADA-OP-01
  • MS Medicaid: 0119422
  • MS Other: 1235270885 COPAC INCORPORATED
  • MS Other: 1073679817 NURSE PRACTITIONER
  • MS Other: 1316016066 PHYSICIAN
  • MS Other: 1730289802 PHYSICIAN
  • MS Other: 1801997127 PHYSICIAN

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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