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Contact Information

SINGING RIVER MENTAL HEALTH MENTAL RETARDATION SERVICES
3407 SHAMROCK CT
GAUTIER, MS39553-5337
 Phone: 228-497-0690
 Fax: 228-497-0794
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SINGING RIVER MENTAL HEALTH MENTAL RETARDATION SERVICES

NPI # 1265837983
LBN Legal business name SINGING RIVER MENTAL HEALTH MENTAL RETARDATION SERVICES
Authorized official BRETTA ST ROMAIN - (PHARMACIST-IN-CHARGE)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2014
Last updated 04/28/2016 - About 10 years ago
Identifiers
MS License # 14452/5.1
MS Medicaid 01832567
Other 2153586 PK
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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