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Contact Information

UNIVERSITY OF SOUTHERN MISSISSIPPI
118 COLLEGE DR
STE 5066
HATTIESBURG, MS39406-0002
 Phone: 601-266-4075
 Fax: 601-266-4205
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for UNIVERSITY OF SOUTHERN MISSISSIPPI

NPI Number 1750402798
LBN Legal business name UNIVERSITY OF SOUTHERN MISSISSIPPI
Authorized official CELESTE TISDALE - (PHCY MNGR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2007
Last updated 07/14/2010 - About 16 years ago
Identifiers
MS License # 01065
Other 2518491 NCPDP PROVIDER IDENTIFICATION NUMBER
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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