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Contact Information

COVENANT HEALTH & REHAB OF VICKSBURG, LLC
2850 PORTERS CHAPEL RD
VICKSBURG, MS39180-1805
 Phone: 601-638-9211
 Fax: 601-636-4986
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for COVENANT HEALTH & REHAB OF VICKSBURG, LLC

NPI Number 1073842829
LBN Legal business name COVENANT HEALTH & REHAB OF VICKSBURG, LLC
Authorized official CHRISTOPHER MURPHY - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/08/2009
Last updated 04/12/2012 - About 14 years ago
Identifiers
MS Medicaid 01787098
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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