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Contact Information

MOBILE HEART STATION INC
196 TIMBERLANE ROAD
PICAYUNE, MS39466
 Phone: 601-799-5169
 Fax: 601-799-3998
 Website:
Indicates primary specialty

NPI Profile & details for MOBILE HEART STATION INC

NPI Number 1356428569
LBN Legal business name MOBILE HEART STATION INC
Authorized official WAR VICHAYANOND - (PRESIDENT & CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2006
Last updated 11/02/2010 - About 16 years ago
Identifiers
License # ARDMS
License # ARDMS11532
MS Medicaid 00117333
LA Other 5CB82 MEDICARE OF LA
MS Other 470000422 MEDICARE RAILROAD
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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