MISSISSIPPI ORTHOPAEDIC INSTITUTE; NPI #1295161404

Contact Information

MISSISSIPPI ORTHOPAEDIC INSTITUTE

15190 COMMUNITY RD STE 120
GULFPORT, MS 39503-3484

Phone: 228-328-2400
Fax: 228-328-4200
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Non-Pharmacy Dispensing Site	332900000X	87	All Other Suppliers

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NPI Profile & details for MISSISSIPPI ORTHOPAEDIC INSTITUTE

NPI # 1295161404

LBN Legal business name MISSISSIPPI ORTHOPAEDIC INSTITUTE

Authorized official ROBERT JOHANSEN - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/19/2013

Last updated 09/19/2013 - About 13 years ago

Identifiers

MS	License #	14698
MS	Medicaid	04232510

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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MISSISSIPPI ORTHOPAEDIC INSTITUTE

Contact Information

Specialty

Non-Pharmacy Dispensing Site

NPI Profile & details for MISSISSIPPI ORTHOPAEDIC INSTITUTE

Reviews for MISSISSIPPI ORTHOPAEDIC INSTITUTE